Active NPI
Lauren Stegall, LCMHC, NCC, LRT/CTRS
- Mental Health Counselor
- Indian Trail, NC
National Provider Identifier
1760909899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 13219
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 13219 | NC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stegall Counseling PLLC | Mental Health | Current | 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.
-
- Mental Health Counselor
- Indian Trail, NC
- NPI 1508529033
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.