DR. JOHN LESLIE STEVENS (NPI# 1477734564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477734564 |
| Entity Type | Individual |
| Full Name | DR. JOHN LESLIE STEVENS |
| Credential | LPC |
| Practice Address |
150 Fountains Blvd Madison MS 39110-6377 |
| Mailing Address |
213 Concord Dr Clinton MS 39056-5727 |
| Practice Telephone | 6018984497 |
| Mailing Telephone | 6019403870 |
| Enumeration Date | 2007-11-17 |
| Last Update Date | 2015-06-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689292096 | John Stevens | Counselor | 166 Pleasant St, Rehoboth, MA 02769-1620 | 2020-07-13 |
| 1679938302 | John C Stevens | Contractor | 3025 S Meridian Rd, Colorado Springs, CO 80929-9712 | 2015-12-23 |
| 1346491420 | John Charles Stevens | Registered Nurse | 3912 W Bishop Ct, Wilmington, NC 28412-7435 | 2008-10-07 |
| 1003012261 | John G Stevens | Counselor | 1855 Geneseo, Paso Robles, CA 93446 | 2007-06-25 |
| 1619180379 | John Tyler Stevens | Pharmacist | 2608 Buford Road, Buford Road Pharmacy, Richmond, VA 23225 | 2007-05-08 |
| 1730249194 | John H Stevens Jr. | Psychologist | 168 Horse Pond Rd, Sudbury, MA 01776-2703 | 2006-12-08 |
| 1114096781 | John R Stevens | Psychologist | 2870 Carol Rd, York, PA 17402-3865 | 2006-11-07 |
| 1639264567 | John A Stevens | Dentist | 221 H Mount Hermon Rd, Scotts Valley, CA 95066 | 2006-10-04 |
| 1225139629 | John Craig Stevens | Dentist | 20 Bryson Dr, Sutter Creek, CA 95685-4118 | 2006-09-26 |
| 1235232836 | John R Stevens | Physical Therapist | 8691 W Sahara Ave, #100, Las Vegas, NV 89117 | 2006-09-07 |
| Street Address |
150 FOUNTAINS BLVD |
| City | MADISON |
| State | MS |
| Zip Code | 39110-6377 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629620836 | Kristal Burton | Counselor | 150 Fountains Blvd, Madison, MS 39110-6377 | 2019-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134784689 | Therapy South - Gluckstadt LLC | Physical Therapist | 1716 Us 51, Ste N, Madison, MS 39110 | 2019-05-09 |
| 1871054098 | Summit Medical Solutions | Durable Medical Equipment & Medical Supplies | 107 Azalea Street, Madison, MS 39110 | 2019-03-29 |
| 1912488198 | Madison Medical Compounding Pharmacy | Pharmacy | 111 Fountains Blvd. Building B Ste. A, Madison, MS 39110 | 2018-08-24 |
| 1679061469 | Nuvena Vein Clinic | Anesthesiology | 120 Fountains Blvd, Madison, MS 39110 | 2018-04-26 |
| 1467960484 | Brick City Drugs, LLC | Durable Medical Equipment & Medical Supplies | 159 Fountains Blvd, Madison, MS 39110 | 2018-01-11 |
| 1093227589 | Hannah Monk Hawthorne | Counselor | 930 Ebenezer Blvd., Suite D, Madisin, MS 39110 | 2017-10-25 |
| 1548786650 | Kimberly Allen | Pharmacist | 1100 Us- 51, Madison, MS 39110 | 2017-08-21 |
| 1891218186 | Delta Elizabeth Stark | Chiropractor | 1085 Gluckstadt Rd., Bld 300 Ste E, Madison, MS 39110 | 2017-07-19 |
| 1861914848 | Laura Hartlein | Dietitian, Registered | 200 Park Circle Dr. #2, Flowood, MS 39110 | 2017-07-12 |
| 1831620608 | Ona Irby | Occupational Therapist | 105 Munich Dr, Madison, MS 39110 | 2017-03-23 |
| Find all providers in zip 39110 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710591086 | Carrie Allen | Counselor | 222 Kyser Blvd Apt 73, Madison, AL 35758-2307 | 2020-09-03 |
| 1548872765 | Kelly Kendricks | Counselor | 2002 Atwood Ave Ste 225, Madison, WI 53704-5382 | 2020-08-19 |
| 1740803097 | Megan Gour | Counselor | 8102 Wellness Way, Madison, WI 53719-8800 | 2020-05-21 |
| 1578197141 | Nicole Danielle Morra | Counselor | 141 Durham Rd Ste 19, Madison, CT 06443-2657 | 2020-02-23 |
| 1982236741 | Jolin Mitchel | Counselor | 437 S Yellowstone Dr Ste 219, Madison, WI 53719-1061 | 2020-02-10 |
| 1346880127 | Tree of Life Treatment Services | Counselor | 437 S Yellowstone Dr Ste 200, Madison, WI 53719-2902 | 2020-01-09 |
| 1720623226 | Reflections Mental Health LLC | Counselor | 2802 Coho St Ste 203, Madison, WI 53713-4521 | 2019-11-08 |
| 1740822287 | Diamond Jones | Counselor | 2093 W Us 90, Madison, FL 32340-4308 | 2019-10-16 |
| 1457819617 | Emma Coleen Tagariello | Counselor | 170 Ridgedale Ave, Madison, NJ 07940-1220 | 2019-03-06 |
| 1144785940 | Vallis LLC | Counselor | 814 Palmer Rd Ste B4, Madison, AL 35758-3185 | 2019-02-05 |
| Find all providers in MADISON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.