Active NPI
Stephen Kennedy Price, M.A., LPC, LMFT
- Professional Counselor
- Roanoke, VA
National Provider Identifier
1760563167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701003112
- Practice address
- 5401 Fallowater LN
Suite C
Roanoke, VA 24018-0948 - Phone
- (540) 989-1383
- Fax
- (540) 989-8092
- NPI assigned
- Oct 18, 2006
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701003112 | VA | Primary |
Addresses
Primary practice location
5401 Fallowater LN
Suite C
Roanoke, VA 24018-0948
Mailing address
5401 Fallowater LN
Suite C
Roanoke, VA 24018-0948
Phone (540) 989-1383
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 319781 | Other | VA | ANTHEM |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701003112 | VA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1760563167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5401 FALLOWATER LN",
"address_2": "SUITE C",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240180948",
"telephone_number": "540-989-1383",
"fax_number": "540-989-8092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5401 FALLOWATER LN",
"address_2": "SUITE C",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240180948",
"telephone_number": "540-989-1383",
"fax_number": "540-989-8092"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRICE",
"first_name": "STEPHEN",
"middle_name": "KENNEDY",
"name_prefix": "Mr.",
"credential": "M.A., LPC, LMFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701003112",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "319781",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Roanoke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.