Judith Renee Stevenson, MA, LPC-T

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

5258-226 Issued in WI

Practice address

631 Forest St
Wausau, WI 54403-5524

Phone

(715) 842-0944

Fax

(715) 845-6477

NPI assigned

Mar 14, 2022

Last updated

Mar 14, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

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

Specialty

Mental Health Counselor

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Center for Human Development, Inc.Group PAC ID 0345394037, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Center for Human Development, Inc.

  • Mental Health Counselor
  • Wausau, WI
  • NPI 1679684609
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1647216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647216000000",
    "number": "1942958442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 FOREST ST",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544035524",
            "telephone_number": "715-842-0944",
            "fax_number": "715-845-6477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 FOREST ST",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544035524",
            "telephone_number": "715-842-0944",
            "fax_number": "715-845-6477"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1509 N 4th St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Tomahawk",
            "state": "WI",
            "postal_code": "544872108",
            "country_code": "US",
            "telephone_number": "715-842-0944",
            "fax_number": "715-845-6477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEVENSON",
        "first_name": "JUDITH",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "MA, LPC-T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-14",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "5258-226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE #",
            "identifier": "5258-226",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Stenklyft, CPC
• Bette J Stephens, PT
• Stepping Stones Counseling Center, LLC
• Logan James Stern, DO
• Steven a. Benson PHD, LLC
• Lindsay Stevenson, MD
• Dawn M. Steves, MA, CCC-SLP
• Stewart Avenue Optical, Inc.
• Stewart Optical LLC
• John W. Stilp, D.D.S.

• Professional Counselor in Wausau, WI
• Providers in Wausau, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.