Stephanie Ann Mancine, MA, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

6401007747 Issued in MI

Practice address

11745 US Highway 23 S
Ossineke, MI 49766-9582

Phone

(989) 471-2156

NPI assigned

Feb 5, 2007

Last updated

Mar 8, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Interoperability endpoints

• Direct secure messaging: stephanie.mancine.p1@direct.alcona.nextgenshare.com

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1952449449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 N BARLOW RD",
            "city": "HARRISVILLE",
            "state": "MI",
            "postal_code": "487409607",
            "telephone_number": "989-736-8157",
            "fax_number": "989-358-3762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11745 US HIGHWAY 23 S",
            "city": "OSSINEKE",
            "state": "MI",
            "postal_code": "497669582",
            "telephone_number": "989-471-2156"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "177 N Barlow Rd",
            "address_purpose": "LOCATION",
            "city": "Harrisville",
            "state": "MI",
            "postal_code": "487409607",
            "country_code": "US",
            "telephone_number": "989-736-8157",
            "fax_number": "989-358-3762",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANCINE",
        "first_name": "STEPHANIE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401007747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stephanie.mancine.p1@direct.alcona.nextgenshare.com",
            "affiliation": "N",
            "address_1": "177 N Barlow Rd",
            "city": "Harrisville",
            "state": "MI",
            "country_code": "US",
            "postal_code": "487409607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Counselor in Ossineke, MI
• Providers in Ossineke, MI by specialty
• Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; 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.