Marion T Stevens, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

4090-125 Issued in WI

Practice address

5109 World Dairy Dr
Madison, WI 53718-3807

Phone

(608) 242-0220

NPI assigned

Jun 23, 2011

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

Other identifiers 1

Other names 1

• Marion Jimos Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1992091441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 CHERRY AVE STE 202",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537141205",
            "telephone_number": "920-664-2490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5109 WORLD DAIRY DR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537183807",
            "telephone_number": "608-242-0220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Our Savior's Lutheran Church",
            "address_2": "1201 Droster Rd.",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "53716",
            "country_code": "US",
            "telephone_number": "888-867-4840",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "421 George St",
            "address_2": "Suite 202",
            "address_purpose": "LOCATION",
            "city": "DE Pere",
            "state": "WI",
            "postal_code": "541152775",
            "country_code": "US",
            "telephone_number": "920-336-9790",
            "fax_number": "920-336-9793",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "MARION",
        "middle_name": "T",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-23",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "4090-125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42229700",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "data",
            "affiliation": "N",
            "endpointDescription": "office",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "exchange of information",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "data",
            "address_1": "Our Savior's Lutheran Church",
            "address_2": "1201 Droster Rd.",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "53716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MARION",
            "last_name": "JIMOS",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amberly Stevens, MFT-IT
• Cassandra Lynn Stevens
• Jacob Andrew Stevens, MD
• Furtis Marcel Stevens, Jr
• Kendall I Stevens, MD
• Sally J Stevens, MSSW, LCSW, CADC
• Elizabeth Stevenson
• Kristin J Stevenson, MD
• Laura Stevenson, NP
• Donna Marie Stewart-Martin, LPC

• Mental Health Counselor in Madison, WI
• Providers in Madison, WI by specialty
• Mental Health Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.