Active NPI
Lila Stephenson, PC
- Professional Counselor
- Mansfield, TX
National Provider Identifier
1922474154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 69271
- Practice address
- 600 Strada Cir
Suite 112
Mansfield, TX 76063-3201 - Phone
- (817) 456-4893
- NPI assigned
- Aug 11, 2015
- Sex
- Female
- Sole proprietor
- No
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 | 69271 | TX | Primary |
Addresses
Primary practice location
600 Strada Cir
Suite 112
Mansfield, TX 76063-3201
Mailing address
PO Box 1138
Mansfield, TX 76063-1138
Phone (817) 456-4893
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 |
|---|---|---|---|
| 69271 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wholesome Intimacy PLLC | 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.
-
- Professional Counselor
- Mansfield, TX
- NPI 1205209756
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484179200000",
"number": "1922474154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1138",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760631138",
"telephone_number": "817-456-4893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 STRADA CIR",
"address_2": "SUITE 112",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760633201",
"telephone_number": "817-456-4893"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHENSON",
"first_name": "LILA",
"credential": "PC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-11",
"last_updated": "2017-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "69271",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mansfield, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.