Individual provider Active NPI

Lisa Stepelevich, M.S., LPC

  • Counselor
  • Philadelphia, PA
National Provider Identifier
1780136002
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
PC009275 Issued in PA
Practice address
1528 Walnut St Ste 810
Philadelphia, PA 19102-3608
Phone
(610) 804-3431
NPI assigned
Nov 3, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X PC009275 PA Primary

Addresses

Primary practice location

1528 Walnut St Ste 810
Philadelphia, PA 19102-3608

Mailing address

1528 Walnut St Ste 810
Philadelphia, PA 19102-3608
Phone (267) 225-1416

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective May 24, 2024 through May 24, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PC009275PAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lisa Stepelevich, LLC CurrentSince Dec 15, 2024 Accepting new patients

Locations

1528 Walnut St
Ste 810
Philadelphia, PA 19102
Phone (215) 908-6906

123 S Broad St
Ste 2015
Philadelphia, PA 19109
Phone (215) 436-9382

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": "1478131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1780136002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1528 WALNUT ST STE 810",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191023608",
            "telephone_number": "267-225-1416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1528 WALNUT ST STE 810",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191023608",
            "telephone_number": "610-804-3431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPELEVICH",
        "first_name": "LISA",
        "credential": "M.S., LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-03",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "PA",
            "license": "PC009275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.