Active NPI
Jerilynn Gaye Stegman, MA, RAS
- Addiction (Substance Use Disorder) Counselor
- Concord, CA
National Provider Identifier
1831315464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- S0501030742
- Practice address
- 3024 Willow Pass Rd
Concord, CA 94519-2588 - Phone
- (925) 363-5000
- NPI assigned
- Apr 18, 2007
- Sex
- Female
- Sole proprietor
- No
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 | S0501030742 | CA | Primary |
Addresses
Primary practice location
3024 Willow Pass Rd
Concord, CA 94519-2588
Mailing address
15 Serene CT
Danville, CA 94526-3039
Phone (925) 363-5000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| S0501030742 | Other | CA | RAS |
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 |
|---|---|---|---|
| S0501030742 | 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": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1831315464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 SERENE CT",
"city": "DANVILLE",
"state": "CA",
"postal_code": "945263039",
"telephone_number": "925-363-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3024 WILLOW PASS RD",
"city": "CONCORD",
"state": "CA",
"postal_code": "945192588",
"telephone_number": "925-363-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEGMAN",
"first_name": "JERILYNN",
"middle_name": "GAYE",
"credential": "MA, RAS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "S0501030742",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAS",
"identifier": "S0501030742",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Concord, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.