Individual provider Active NPI

Stephnie M Thomas, M.S., N.C.C., L.C.PC

  • Mental Health Counselor
  • Westminster, MD
National Provider Identifier
1972730596
Registry record updated Apr 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LC4083 Issued in MD
Practice address
77 E Main St
Suite 204
Westminster, MD 21157-5037
Phone
(410) 236-1470
Fax
(410) 751-2090
NPI assigned
Jun 22, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 240153 (NBCC) NC
Mental Health Counselor 101YM0800X LC4083 MD Primary

Addresses

Primary practice location

77 E Main St
Suite 204
Westminster, MD 21157-5037

Mailing address

77 E Main St
Suite 204
Westminster, MD 21157-5037
Phone (410) 236-1470

Other identifiers 1

IdentifierTypeStateIssuer
441708900MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20240205002446 MD Practitioner - Mental Health Counselor 4385087592 Practice locations: Westminster, MD

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

77 E Main St
Suite 204
Westminster, MD 21157-5064
Phone (410) 236-1470

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
240153 (NBCC)NCMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1245628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366934400000",
    "number": "1972730596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 E MAIN ST",
            "address_2": "SUITE 204",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575037",
            "telephone_number": "410-236-1470",
            "fax_number": "410-751-2090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 E MAIN ST",
            "address_2": "SUITE 204",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575037",
            "telephone_number": "410-236-1470",
            "fax_number": "410-751-2090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "STEPHNIE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "M.S., N.C.C., L.C.PC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-22",
        "last_updated": "2013-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "240153 (NBCC)",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC4083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "441708900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, MD

Sources for this page

Verify at the official NPI Registry.