Individual provider Active NPI

Stephanie Zeiser Johnson

  • Counselor
  • Anderson, SC
National Provider Identifier
1790221406
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6701 Issued in SC
Practice address
111 Whispering Pines Dr
Anderson, SC 29621-2467
Phone
(203) 213-0308
NPI assigned
Jan 19, 2017
Last updated
Sep 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6701 SC Primary

Addresses

Primary practice location

111 Whispering Pines Dr
Anderson, SC 29621-2467

Mailing address

111 Whispering Pines Dr
Anderson, SC 29621-2467
Phone (203) 213-0308

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240209000551 SC Practitioner - Mental Health Counselor 9032552799 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Forged From Ash Counseling LLC Counselor CurrentSince Dec 14, 2025 Accepting new patients
Taral Sharma MD PC CurrentSince Jan 1, 2024 Accepting new patients

Locations

10 Financial Blvd
Anderson, SC 29621
Phone (855) 663-7772

120 Pelham Ln
Anderson, SC 29621
Phone (864) 627-5337

201 Central Park Ln
Seneca, SC 29678
Phone (844) 864-9432

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1484784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1790221406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 WHISPERING PINES DR",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296212467",
            "telephone_number": "203-213-0308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 WHISPERING PINES DR",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296212467",
            "telephone_number": "203-213-0308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "STEPHANIE",
        "middle_name": "ZEISER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-19",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "SC",
            "license": "6701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

Verify at the official NPI Registry.