Individual provider Active NPI

Stephanie K. De Wolfe, LCSW

  • Mental Health Counselor
  • Friendswood, TX
National Provider Identifier
1750449203
Registry record updated Mar 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
26990 Issued in TX
Practice address
1506 Winding Way Dr
204
Friendswood, TX 77546-5391
Phone
(281) 482-9222
Fax
(281) 482-9222
NPI assigned
Dec 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 26990 TX Primary

Addresses

Primary practice location

1506 Winding Way Dr
204
Friendswood, TX 77546-5391

Mailing address

1506 Winding Way Dr
204
Friendswood, TX 77546-5391
Phone (281) 482-9222

Other identifiers 1

IdentifierTypeStateIssuer
00216POtherTXTHIS IS JUST THE MEDICARE NUMBER I WAS GIVEN IM UNCERTAIN EXACTLY WHAT IT IS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
Stephanie K. Dewolfe, LCSW, PLLC Mental Health CurrentSince Sep 21, 2012 Accepting new patients

Locations

1506 E Winding Way Dr
Ste 204
Friendswood, TX 77546
Phone (281) 482-9222

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332115200000",
    "number": "1750449203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 WINDING WAY DR",
            "address_2": "204",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775465391",
            "telephone_number": "281-482-9222",
            "fax_number": "281-482-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1506 WINDING WAY DR",
            "address_2": "204",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775465391",
            "telephone_number": "281-482-9222",
            "fax_number": "281-482-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE WOLFE",
        "first_name": "STEPHANIE",
        "middle_name": "K.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2012-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "26990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THIS IS JUST THE MEDICARE NUMBER I WAS GIVEN IM UNCERTAIN EXACTLY WHAT IT IS",
            "identifier": "00216P",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Friendswood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.