Individual provider Active NPI

Lindsay Stump Rodwell, MS, LCMHC, LCAS, NC

  • Mental Health Counselor
  • Greenville, NC
National Provider Identifier
1952943425
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
15199 Issued in NC
Practice address
502 Red Banks Rd Ste a
Greenville, NC 27858-5751
Phone
(252) 758-4810
Fax
(252) 758-3790
NPI assigned
Oct 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 101YM0800X NC
Addiction (Substance Use Disorder) Counselor 101YA0400X LCAS-25925 NC
Mental Health Counselor 101YM0800X A15199 NC
Professional Counselor 101YP2500X 101YM0800X NC
Mental Health Counselor 101YM0800X 15199 NC Primary

Addresses

Primary practice location

502 Red Banks Rd Ste a
Greenville, NC 27858-5751

Mailing address

502 Red Banks Rd Ste a
Greenville, NC 27858-5751
Phone (252) 758-4810

Other names 1

  • Lindsay Rachel Stump Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20241023003729 NC Practitioner - Mental Health Counselor 1355874751 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LCAS-25925NCMDAddiction (Substance Use Disorder) Counselor
101YM0800XNCMDMental Health Counselor
A15199NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Mental Health CurrentSince Jan 7, 2025 Accepting new patients
Greenville Psychiatric Associates, PA PastSince Sep 11, 2022 Accepting new patients

Locations

3511 Shannon Rd
Fl 3
Durham, NC 27707
Phone (201) 293-7689

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1571184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1952943425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 RED BANKS RD STE A",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585751",
            "telephone_number": "252-758-4810",
            "fax_number": "252-758-3790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 RED BANKS RD STE A",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585751",
            "telephone_number": "252-758-4810",
            "fax_number": "252-758-3790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODWELL",
        "first_name": "LINDSAY",
        "middle_name": "STUMP",
        "credential": "MS, LCMHC, LCAS, NC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-16",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "101YM0800X",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-25925",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A15199",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "101YM0800X",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "15199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDSAY",
            "last_name": "STUMP",
            "middle_name": "RACHEL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Greenville, NC

Sources for this page

Verify at the official NPI Registry.