Individual provider Active NPI

Stephanie L Fister, LPCA

  • Mental Health Counselor
  • Florence, KY
National Provider Identifier
1922706027
Registry record updated Feb 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
279811 Issued in KY
Practice address
1655 Burlington Pike Ste 101
Florence, KY 41042-4909
Phone
(859) 342-6444
Fax
(859) 342-0999
NPI assigned
Feb 17, 2023
Last updated
Feb 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 279811 KY Primary

Addresses

Primary practice location

1655 Burlington Pike Ste 101
Florence, KY 41042-4909

Mailing address

1107 Bayswater Dr
Union, KY 41091-7182
Phone (859) 409-8115

Other identifiers 1

IdentifierTypeStateIssuer
279811OtherKYCOUNSELING LICENSE NUMBER

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
279811KYMDMental Health Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1676592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676592000000",
    "number": "1922706027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 BAYSWATER DR",
            "city": "UNION",
            "state": "KY",
            "postal_code": "410917182",
            "telephone_number": "859-409-8115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 BURLINGTON PIKE STE 101",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410424909",
            "telephone_number": "859-342-6444",
            "fax_number": "859-342-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISTER",
        "first_name": "STEPHANIE",
        "middle_name": "L",
        "credential": "LPCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-17",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "279811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COUNSELING LICENSE NUMBER",
            "identifier": "279811",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2023; 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.