Active NPI
Stephanie Van Wig, M.A., L.P.C.
- Mental Health Counselor
- Irving, TX
National Provider Identifier
1922304070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 65080
- Practice address
- 1075 Kinwest Pkwy
Ste. 107
Irving, TX 75063-3426 - Phone
- (972) 910-8388
- NPI assigned
- Feb 8, 2011
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 65080 | TX | Primary |
Addresses
Primary practice location
1075 Kinwest Pkwy
Ste. 107
Irving, TX 75063-3426
Mailing address
1075 Kinwest Pkwy
Ste. 107
Irving, TX 75063-3426
Phone (972) 910-8388
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 |
|---|---|---|---|
| 65080 | TX | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Las Colinas Counseling PA | 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.
-
- Professional Counselor
- Irving, TX
- NPI 1629240262
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297123200000",
"number": "1922304070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1075 KINWEST PKWY",
"address_2": "STE. 107",
"city": "IRVING",
"state": "TX",
"postal_code": "750633426",
"telephone_number": "972-910-8388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1075 KINWEST PKWY",
"address_2": "STE. 107",
"city": "IRVING",
"state": "TX",
"postal_code": "750633426",
"telephone_number": "972-910-8388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN WIG",
"first_name": "STEPHANIE",
"credential": "M.A., L.P.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-02-08",
"last_updated": "2011-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "65080",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.