Active NPI
Stefanie Lynn Archie, LPC
- Professional Counselor
- Enterprise, AL
National Provider Identifier
1851554091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2698
- Practice address
- 127 E College St
Enterprise, AL 36330-2517 - Phone
- (334) 347-4480
- Fax
- (866) 536-5916
- NPI assigned
- Jul 8, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2698 | AL | Primary |
Addresses
Primary practice location
127 E College St
Enterprise, AL 36330-2517
Mailing address
526 Boll Weevil Cir Ofc B
Enterprise, AL 36330-4012
Phone (334) 417-0212
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2698 | AL | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dover Counseling Services, Inc. | Professional | Past | Accepting new patients |
Organizations & group practices 1
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": "1215475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480377600000",
"number": "1851554091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "526 BOLL WEEVIL CIR OFC B",
"city": "ENTERPRISE",
"state": "AL",
"postal_code": "363304012",
"telephone_number": "334-417-0212",
"fax_number": "334-417-0213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "127 E COLLEGE ST",
"city": "ENTERPRISE",
"state": "AL",
"postal_code": "363302517",
"telephone_number": "334-347-4480",
"fax_number": "866-536-5916"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARCHIE",
"first_name": "STEFANIE",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-08",
"last_updated": "2016-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AL",
"license": "2698",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Enterprise, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.