Elizabeth Kaye Stonerock

Individual provider Active NPI Mental Health Counselor · London, OH

NPI 1992489470 · NPPES record last updated Jun 25, 2025

Key facts

NPI
1992489470
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
C.2507019 (OH)
Practice address
1375 US Highway 42 SE, Ste C
London, OH 43140-9548
Phone
(740) 845-8652
Fax
(614) 503-0899
NPI assigned
Jun 14, 2023
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
C.2507019OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Stacy Martin, LLC Past
since Jun 1, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C.2507019 OH Yes

Addresses

Primary practice location

1375 US Highway 42 SE, Ste C
London, OH 43140-9548

Mailing address

1375 US Highway 42 SE, Ste C
London, OH 43140-9548
Phone (614) 879-8067

Other providers in London, OH

All providers in London, OH · Mental Health Counselor in Ohio

Sources for this page

Verify at the official NPI Registry.