Individual provider Active NPI

Lauren Stegall, LCMHC, NCC, LRT/CTRS

  • Mental Health Counselor
  • Indian Trail, NC
National Provider Identifier
1760909899
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
13219 Issued in NC
Practice address
120 Unionville Indian Trail Road
Suite B 202
Indian Trail, NC 28079-4650
Phone
(704) 234-8003
Fax
(704) 220-0678
NPI assigned
Aug 29, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 13219 NC Primary

Addresses

Primary practice location

120 Unionville Indian Trail Road
Suite B 202
Indian Trail, NC 28079-4650

Mailing address

120 Unionville Indian Trail Road
Suite B 202
Indian Trail, NC 28079-4650
Phone (704) 234-8003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 9, 2024 through Apr 9, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
13219NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Stegall Counseling PLLC Mental Health CurrentSince Jun 25, 2023 Accepting new patients

Locations

3540 Toringdon Way
Ste 200
Charlotte, NC 28277
Phone (704) 575-7816

120 Unionville Indian Trail Rd W
Ste B202
Indian Trail, NC 28079
Phone (704) 234-8003

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": "1503964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1760909899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 UNIONVILLE INDIAN TRAIL ROAD",
            "address_2": "SUITE B 202",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280794650",
            "telephone_number": "704-234-8003",
            "fax_number": "704-220-0678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 UNIONVILLE INDIAN TRAIL ROAD",
            "address_2": "SUITE B 202",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280794650",
            "telephone_number": "704-234-8003",
            "fax_number": "704-220-0678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEGALL",
        "first_name": "LAUREN",
        "name_prefix": "Mrs.",
        "credential": "LCMHC, NCC, LRT/CTRS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-29",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "13219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indian Trail, NC

Sources for this page

Verify at the official NPI Registry.