Individual provider Active NPI

David Stenberg, LPC-MHSP

  • Mental Health Counselor
  • Memphis, TN
National Provider Identifier
1780179655
Registry record updated Aug 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC0000004282 Issued in TN
Practice address
3950 Central Ave
Memphis, TN 38111
Phone
(901) 458-6291
NPI assigned
Jun 24, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC0000004282 TN Primary

Addresses

Primary practice location

3950 Central Ave
Memphis, TN 38111

Mailing address

3950 Central Ave
Memphis, TN 38111-7602
Phone (901) 458-6291

Other practice location 1

2009 Lamar Ave.
Memphis, TN 38114
Phone (901) 722-3962

Other practice location 2

2009 LaMar Ave
Memphis, TN 38114-2138
Phone (901) 722-3962

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

State licenses

LicenseStateTypeSpecialty
LPC0000004282TNMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Christian Psychological Center, Inc. CurrentSince May 1, 2021 Accepting new patients

Locations

3950 Central Ave
Memphis, TN 38111
Phone (901) 458-6291

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": "1529798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566172800000",
    "number": "1780179655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3950 CENTRAL AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381117602",
            "telephone_number": "901-458-6291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 CENTRAL AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38111",
            "telephone_number": "901-458-6291"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2009 Lamar Ave.",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "38114",
            "country_code": "US",
            "telephone_number": "901-722-3962",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2009 LaMar Ave",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381142138",
            "country_code": "US",
            "telephone_number": "901-722-3962",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STENBERG",
        "first_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "LPC-MHSP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-24",
        "last_updated": "2019-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "LPC0000004282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.