Individual provider Active NPI

Stephanie Zebrowski, LPC

  • Professional Counselor
  • Albuquerque, NM
National Provider Identifier
1760882682
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC017488 Issued in PA
Practice address
610 Gold Ave SW Ste 102
Albuquerque, NM 87102-3187
Phone
(412) 389-0576
NPI assigned
Aug 27, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CTB-2022-0059 NM
Mental Health Counselor 101YM0800X PC017488 PA
Professional Counselor 101YP2500X PC017488 PA Primary

Addresses

Primary practice location

610 Gold Ave SW Ste 102
Albuquerque, NM 87102-3187

Mailing address

11676 Perry Hwy Ste 2100
Wexford, PA 15090-7203
Phone (610) 892-3800

Other practice location 1

11676 Perry Hwy Ste 2100
Wexford, PA 15090-7203
Phone (610) 892-3800

Other names 1

  • Stephanie Kelley Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241217002266 PA Practitioner - Mental Health Counselor 9830626787 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Delaware County Professional Services, IncGroup PAC ID 2668436692, 276 clinicians

Practice addresses (Care Compare)

11676 Perry Hwy
Suite 2100
Wexford, PA 15090-7203
Phone (724) 934-7722

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CTB-2022-0059NMMDMental Health Counselor
PC017488PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware County Professional Services, Inc CurrentSince Feb 1, 2025 Accepting new patients
Optum Behavioral Care of Delaware, Inc Past Accepting new patients

Locations

3800 Sierra Cir
Ste 210
Center Valley, PA 18034
Phone (855) 995-5384

780 E Market St
West Chester, PA 19382
Phone (425) 908-0237

11676 Perry Hwy
Ste 2100
Wexford, PA 15090
Phone (724) 934-7722

Interoperability endpoints

  • Direct secure messaging: stephanie.zebrowski.1@28623.direct.athenahealth.com

Organizations & group practices 2

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": "1409097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1760882682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11676 PERRY HWY STE 2100",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150907203",
            "telephone_number": "610-892-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 GOLD AVE SW STE 102",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871023187",
            "telephone_number": "412-389-0576"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11676 Perry Hwy Ste 2100",
            "address_purpose": "LOCATION",
            "city": "Wexford",
            "state": "PA",
            "postal_code": "150907203",
            "country_code": "US",
            "telephone_number": "610-892-3800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZEBROWSKI",
        "first_name": "STEPHANIE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-27",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "CTB-2022-0059",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC017488",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC017488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "KELLEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.