Active NPI
Derek Todd Stegner, LPC
- Mental Health Counselor
- Cincinnati, OH
National Provider Identifier
1730692104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- C1500433
- Practice address
- 1994 Madison Rd
Cincinnati, OH 45208-3217 - Phone
- (513) 641-5530
- NPI assigned
- Nov 8, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | C1500433 | OH | Primary |
Addresses
Primary practice location
1994 Madison Rd
Cincinnati, OH 45208-3217
Mailing address
1994 Madison Rd
Cincinnati, OH 45208-3217
Phone (513) 641-5530
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
256 Poplar St NW
Bolivar, OH 44612-9209
Phone (614) 610-1396
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C1500433 | OH | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cognitive Organics LLC | Mental Health | Current | Accepting new patients |
| Cognitive Organics LLC | Current | Accepting new patients | |
| Hearing Speech and Deaf Center of Greater Cincinnati | Past | Accepting new patients | |
| G.L.a.D. House, Inc. | Past | Accepting new patients |
Locations
2637 Tusky Valley Rd NE
Zoarville, OH 44656
Phone (330) 859-2213
263 Rainbow Dr
#16343
Livingston, TX 77399
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Bolivar, OH
- NPI 1609493097
-
- Mental Health Counselor
- Bolivar, OH
- NPI 1902664964
-
- Adolescent and Children Mental Health Clinic/Center
- Cincinnati, OH
- NPI 1205884905
-
- Hearing and Speech Clinic/Center
- Cincinnati, OH
- NPI 1083667497
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510099200000",
"number": "1730692104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1994 MADISON RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452083217",
"telephone_number": "513-641-5530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1994 MADISON RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452083217",
"telephone_number": "513-641-5530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEGNER",
"first_name": "DEREK",
"middle_name": "TODD",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-11-08",
"last_updated": "2017-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "C1500433",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.