Individual provider Active NPI

Steve Angelo Mastrogianis, LPC

  • Professional Counselor
  • Rochester, MI
National Provider Identifier
1902182884
Registry record updated Oct 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401004458 Issued in MI
Practice address
1000 W. University Dr.
Suite 104
Rochester, MI 48307-1873
Phone
(586) 540-1094
NPI assigned
Oct 24, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2011

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 6401004458 MI Primary

Addresses

Primary practice location

1000 W. University Dr.
Suite 104
Rochester, MI 48307-1873

Mailing address

63959 Inverness Dr
Washington, MI 48095-2850
Phone (248) 568-0658

Other names 1

  • Stayros Mastrogianis Other name

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

LicenseStateTypeSpecialty
6401004458MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Stars of Wellness 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": "1319414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319414400000",
    "number": "1902182884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63959 INVERNESS DR",
            "city": "WASHINGTON",
            "state": "MI",
            "postal_code": "480952850",
            "telephone_number": "248-568-0658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W. UNIVERSITY DR.",
            "address_2": "SUITE 104",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483071873",
            "telephone_number": "586-540-1094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTROGIANIS",
        "first_name": "STEVE",
        "middle_name": "ANGELO",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-24",
        "last_updated": "2011-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401004458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STAYROS",
            "last_name": "MASTROGIANIS",
            "credential": "LPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rochester, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.