Active NPI
Stephen Christopher Swan, MA, LPC, NCC
- Counselor
- Gaylord, MI
National Provider Identifier
1801023130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- L1542595
- Practice address
- 1209 Shady Brook LN
Gaylord, MI 49735-9219 - Phone
- (989) 731-1018
- Fax
- (989) 731-1018
- NPI assigned
- Jun 12, 2009
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | L1542595 | MI | Primary |
Addresses
Primary practice location
1209 Shady Brook LN
Gaylord, MI 49735-9219
Mailing address
1209 Shady Brook LN
Gaylord, MI 49735-9219
Phone (989) 731-1018
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L1542595 | MI | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244764800000",
"number": "1801023130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1209 SHADY BROOK LN",
"city": "GAYLORD",
"state": "MI",
"postal_code": "497359219",
"telephone_number": "989-731-1018",
"fax_number": "989-731-1018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1209 SHADY BROOK LN",
"city": "GAYLORD",
"state": "MI",
"postal_code": "497359219",
"telephone_number": "989-731-1018",
"fax_number": "989-731-1018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWAN",
"first_name": "STEPHEN",
"middle_name": "CHRISTOPHER",
"name_prefix": "Mr.",
"credential": "MA, LPC, NCC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-06-12",
"last_updated": "2009-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MI",
"license": "L1542595",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gaylord, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.