Active NPI
Stephanie Renae Classen, M.S. LMFT
- Marriage & Family Therapist
- Waco, TX
National Provider Identifier
1871734822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 5225
- Practice address
- 9516 Riviera Dr
Waco, TX 76712-8443 - Phone
- (254) 498-0998
- NPI assigned
- Mar 19, 2009
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 5225 | TX | Primary |
Addresses
Primary practice location
9516 Riviera Dr
Waco, TX 76712-8443
Mailing address
9516 Riviera Dr
Waco, TX 76712-8443
Phone (254) 498-0998
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5225 | TX | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237420800000",
"number": "1871734822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9516 RIVIERA DR",
"city": "WACO",
"state": "TX",
"postal_code": "767128443",
"telephone_number": "254-498-0998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9516 RIVIERA DR",
"city": "WACO",
"state": "TX",
"postal_code": "767128443",
"telephone_number": "254-498-0998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLASSEN",
"first_name": "STEPHANIE",
"middle_name": "RENAE",
"credential": "M.S. LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-19",
"last_updated": "2009-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "5225",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.