Active NPI
Stephanie Elizabeth Lowe
- Addiction (Substance Use Disorder) Counselor
- Fresno, CA
National Provider Identifier
1780395707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- R1486881122
- Practice address
- 4705 N Sonora Ave Ste 113
Fresno, CA 93722-3965 - Phone
- (559) 276-7558
- NPI assigned
- Dec 9, 2022
- Last updated
- Dec 13, 2022
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | R1486881122 | CA | Primary |
Addresses
Primary practice location
4705 N Sonora Ave Ste 113
Fresno, CA 93722-3965
Mailing address
4705 N Sonora Ave Ste 113
Fresno, CA 93722-3965
Phone (559) 276-7558
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R1486881122 | Other | CA | REGISTRATION |
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
| License | State | Type | Specialty |
|---|---|---|---|
| R1486881122 | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670889600000",
"number": "1780395707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4705 N SONORA AVE STE 113",
"city": "FRESNO",
"state": "CA",
"postal_code": "937223965",
"telephone_number": "559-276-7558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4705 N SONORA AVE STE 113",
"city": "FRESNO",
"state": "CA",
"postal_code": "937223965",
"telephone_number": "559-276-7558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOWE",
"first_name": "STEPHANIE",
"middle_name": "ELIZABETH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-12-09",
"last_updated": "2022-12-13",
"certification_date": "2022-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "R1486881122",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTRATION",
"identifier": "R1486881122",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.