Individual provider Active NPI

Stephanie Rancourt

  • Counselor
  • Casselberry, FL
National Provider Identifier
1790232452
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
160 Spring Wind Way
Casselberry, FL 32707-5126
Phone
(407) 748-7387
Fax
(407) 949-6137
NPI assigned
Sep 9, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

160 Spring Wind Way
Casselberry, FL 32707-5126

Mailing address

160 Spring Wind Way
Casselberry, FL 32707-5126
Phone (407) 748-7387

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20240325000422 VA Practitioner - Mental Health Counselor 9931546157 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chesterfield Family Guidance CenterGroup PAC ID 5799762712, 40 clinicians

Practice addresses (Care Compare)

831 Grove Rd
Suite C
Midlothian, VA 23114-2666
Phone (804) 743-0960

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chesterfield Family Guidance Center CurrentSince Mar 11, 2024 Accepting new patients
Aspire Health Partners, Inc. PastSince Jul 17, 2021 Accepting new patients

Locations

831 Grove Rd
Ste C
Midlothian, VA 23114
Phone (804) 794-6600

6603 Irongate Sq
North Chesterfield, VA 23234

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1473379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1790232452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 SPRING WIND WAY",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327075126",
            "telephone_number": "407-748-7387",
            "fax_number": "407-949-6137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 SPRING WIND WAY",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327075126",
            "telephone_number": "407-748-7387",
            "fax_number": "407-949-6137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANCOURT",
        "first_name": "STEPHANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-09",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casselberry, FL

Sources for this page

Verify at the official NPI Registry.