Individual provider Active NPI

Stephanie L Gollner, LPCC-S

  • Professional Counselor
  • Youngstown, OH
National Provider Identifier
1912446212
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.1700061-SUPV Issued in OH
Practice address
25 N Canfield Niles Rd Ste 15
Youngstown, OH 44515-2308
Phone
(330) 838-9741
NPI assigned
Feb 20, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X E.1700061-SUPV OH
Professional Counselor 101YP2500X E.1700061-SUPV OH Primary

Addresses

Primary practice location

25 N Canfield Niles Rd Ste 15
Youngstown, OH 44515-2308

Mailing address

25 N Canfield Niles Rd Ste 15
Youngstown, OH 44515-2308
Phone (330) 838-9741

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240109001912 OH Practitioner - Mental Health Counselor 7012368566 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

25 N Canfield Niles Rd
Suite 15
Youngstown, OH 44515-2308

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Meridian Healthcare Counselor Current Accepting new patients
Grow Healthcare Group PA Mental Health CurrentSince Apr 24, 2025 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

4449 Easton Way
Fl 2
Columbus, OH 43219
Phone (614) 565-8197

527 N Meridian Rd
Youngstown, OH 44509
Phone (330) 797-0074

8255 South Ave
Youngstown, OH 44512
Phone (330) 318-3830

Organizations & group practices 2

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": "1487548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1912446212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 N CANFIELD NILES RD STE 15",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445152308",
            "telephone_number": "330-838-9741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 N CANFIELD NILES RD STE 15",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445152308",
            "telephone_number": "330-838-9741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLLNER",
        "first_name": "STEPHANIE",
        "middle_name": "L",
        "credential": "LPCC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-20",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.1700061-SUPV",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.1700061-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

Verify at the official NPI Registry.