Individual provider Active NPI

Myra Lynn Steele, LPC

  • Professional Counselor
  • San Mateo, CA
National Provider Identifier
1821567843
Registry record updated Feb 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701007976 Issued in VA
Practice address
400 Concar Dr
San Mateo, CA 94402-2681
Phone
(276) 979-7581
NPI assigned
Nov 20, 2018
Last updated
Feb 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701007976 VA Primary

Addresses

Primary practice location

400 Concar Dr
San Mateo, CA 94402-2681

Mailing address

400 Concar Dr
San Mateo, CA 94402-2681
Phone (276) 979-7581

Other names 1

  • Myra Lynn Wooldridge Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, IN, MN, SD, NH, MA, NY7 enrollments
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 7

Enrollment IDStateProvider typePAC IDDetails
I20250312002736 VA Practitioner - Mental Health Counselor 6305367822 Reassigns benefits to 1 organization
I20250717003030 IN Practitioner - Mental Health Counselor 6305367822 Reassigns benefits to 1 organization
I20250721001882 MN Practitioner - Mental Health Counselor 6305367822 Reassigns benefits to 1 organization
I20250725003208 SD Practitioner - Mental Health Counselor 6305367822 Reassigns benefits to 1 organization
I20250814002232 NH Practitioner - Mental Health Counselor 6305367822 Reassigns benefits to 1 organization
I20250814002304 MA Practitioner - Mental Health Counselor 6305367822 Reassigns benefits to 1 organization
I20250815003856 NY Practitioner - Mental Health Counselor 6305367822 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Talkspace Provider Network PAGroup PAC ID 5799136701, 249 clinicians

Practice addresses (Care Compare)

13282 April Cir
Lovettsville, VA 20180-3543
Phone (517) 256-9928

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2560NHMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Talkspace Provider Network PA CurrentSince Jan 1, 2025 Accepting new patients
Talkspace Medical Services Ny PC CurrentSince May 12, 2025 Accepting new patients
Cumberland Mountain Community Services PastSince May 14, 2016 Accepting new patients

Locations

2578 Broadway
Ste 607
New York, NY 10025
Phone (304) 308-3735

Organizations & group practices 3

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": "1542672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707523200000",
    "number": "1821567843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CONCAR DR",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944022681",
            "telephone_number": "276-979-7581",
            "fax_number": "276-964-0292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CONCAR DR",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944022681",
            "telephone_number": "276-979-7581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEELE",
        "first_name": "MYRA",
        "middle_name": "LYNN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-20",
        "last_updated": "2024-02-10",
        "certification_date": "2024-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701007976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MYRA",
            "last_name": "WOOLDRIDGE",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Mateo, CA

Sources for this page

Verify at the official NPI Registry.