KELLY L STEVENS (NPI# 1538546189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538546189 |
| Entity Type | Individual |
| Full Name | KELLY L STEVENS |
| Credential | LPC |
| Practice Address |
106 Springview Ln Summerville SC 29485-8108 |
| Practice Telephone | 8438735063 |
| Enumeration Date | 2015-05-04 |
| Last Update Date | 2020-06-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 101YP2500X |
Counselor Specialization: Professional |
7527 | SC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 1760596480 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598308454 | Kelly Lynn Stevens | Nurse Practitioner | 11124 Wembley Landing Dr, Lithia, FL 33547-4945 | 2019-10-23 |
| 1407196868 | Kelly A Stevens | Licensed Practical Nurse | 42 Iroquois Ave, Lancaster, NY 14086-1706 | 2013-02-22 |
| 1104811959 | Kelly Stevens | Physician Assistant | 710 11th St N, Columbus, MT 59019-7215 | 2005-09-19 |
| 1861900458 | Kelly Lane Stevens | Marriage & Family Therapist | 13453 N Main St, Suite 104, Jacksonville, FL 32218 | 2018-01-17 |
| 1700397064 | Kelly Stevens | Physical Therapist | 2845 N Sheridan Rd, Suite 6400, Chicago, IL 60657 | 2017-10-13 |
| 1932645900 | Kelly Stevens | Occupational Therapist | 250 E Day Rd, Mishawaka, IN 46545-3471 | 2017-01-13 |
| 1649641978 | Kelly Lynn Stevens | Pharmacist | 2277 Iowa Ave, Independence, IA 50644-9106 | 2015-10-13 |
| 1427424522 | Kelly Stevens | Nurse Practitioner | 1141 S La Canada Dr, Green Valley, AZ 85614-1945 | 2015-08-12 |
| 1851417505 | Kelly A Stevens | Physician Assistant | 825 Eastlake Ave E, Seattle, WA 98109-4405 | 2007-03-22 |
| 1780700344 | Kelly Ann Stevens | Social Worker | 5505 Creedmoor Rd, Suite 100, Raleigh, NC 27612-6352 | 2007-03-22 |
| Street Address |
106 SPRINGVIEW LN |
| City | SUMMERVILLE |
| State | SC |
| Zip Code | 29485-8108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891809471 | Katherine St.germain Smith | Psychiatry & Neurology | 106 Springview Ln, Summerville, SC 29485-8108 | 2006-08-19 |
| 1245758804 | Sara A Lemay | Counselor | 106 Springview Ln, Summerville, SC 29485 | 2017-09-05 |
| 1215455878 | Ashley J Cox | Counselor | 106 Springview Ln, Summerville, SC 29485-8108 | 2017-09-05 |
| 1326562745 | Kerryn Leigh Hullstrung | Counselor | 106 Springview Ln, Summerville, SC 29485-8108 | 2017-07-27 |
| 1871017392 | Amber Fender | Social Worker | 106 Springview Ln, Summerville, SC 29485-8108 | 2017-07-26 |
| 1881052108 | Candice Kennedy | Counselor | 106 Springview Ln, Summerville, SC 29485-8108 | 2016-02-01 |
| 1881071439 | Brandi J O'connell | Counselor | 106 Springview Ln, Summerville, SC 29485-8108 | 2015-05-04 |
| 1639564768 | Jamie Kierpiec | Counselor | 106 Springview Ln, Summerville, SC 29485-8108 | 2015-04-06 |
| 1235529033 | Brittany Caddell | Counselor | 106 Springview Ln, Summerville, SC 29485-8108 | 2015-01-31 |
| 1306242011 | Melba Bryan | Counselor | 106 Springview Ln, Summerville, SC 29485-8108 | 2014-11-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487267365 | Cp Dentistry, LLC | Dentist | 9919 Dorchester Road, Summerville, SC 29485 | 2020-08-28 |
| 1922622604 | Rachel Elaine Digiacomo | Physical Therapist | 10160 Dorchester Road, Summerville, SC 29485 | 2020-05-29 |
| 1396220034 | Amanda W Peebles | Nurse Practitioner | 4278 Ladson Rd., Summerville, SC 29485 | 2018-09-28 |
| 1396230728 | Gerald Darnell Woods | Counselor | 10825 Dorchester Rd. #3077, Summerville, SC 29485 | 2018-06-27 |
| 1063901072 | Elite Barber Spa, LLC | Specialist | 850 E Bacons Bridge Road, Suite 303, Summerville, SC 29485 | 2018-05-04 |
| 1598253528 | Daniel Joseph Neitzke | Student in an Organized Health Care Education/Training Program | 9228 Medical Plaza Drive, Charleston, SC 29485 | 2018-04-25 |
| 1700315447 | Donna Marie White | Counselor | 9214 Ayscough Road, Summerville, SC 29485 | 2017-06-07 |
| 1043763212 | Brockman Davis Smith | Dentist | 1710 B Trolley Road, Summerville, SC 29485 | 2016-07-25 |
| 1336508530 | Meca Home Health, LLC | Home Health | 415 Savannah River Rd, Summerville, SC 29485 | 2016-02-16 |
| 1609241033 | Dental Professionals of South Carolina, PC | Dentist | 9510 Dorchester Rd, Suite 400, North Charleston, SC 29485 | 2015-12-10 |
| Find all providers in zip 29485 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588280085 | Lisa Douglas | Counselor | 2060 Duck Rd, Summerville, PA 15864-6022 | 2020-06-19 |
| 1447885504 | Anna Flores Gibson | Counselor | 304 Mondo Ct, Summerville, SC 29486-8454 | 2020-03-10 |
| 1710535737 | Patsy Y Johnson I | Counselor | 110 Abbey Ln, Summerville, SC 29485-8007 | 2019-09-03 |
| 1649733700 | Lowcountry Therapy of Sc LLC | Counselor | 208 W 7th North St, Summerville, SC 29483-6621 | 2019-04-07 |
| 1801367263 | Shanelle Fields | Counselor | 222 Varnfield Dr, Summerville, SC 29483-7331 | 2018-12-11 |
| 1356870091 | Brooke Williams | Counselor | 210 Buttercup Ln, Summerville, SC 29486-2378 | 2017-06-07 |
| 1861941668 | Stacey Hipps Page | Counselor | 11578 Highway 27, Summerville, GA 30747-5873 | 2016-09-22 |
| 1356754311 | Carol S Conway | Counselor | 112 Paladin Dr, Summerville, SC 29485-4129 | 2014-06-07 |
| 1790030674 | Deborah S Farris | Counselor | 777 Back Penn Rd, Summerville, GA 30747-5961 | 2012-07-17 |
| 1730492885 | Selena Wilson | Counselor | 134 Heather Dr, Summerville, SC 29483-1795 | 2010-07-19 |
| Find all providers in SUMMERVILLE | ||||
| City | SUMMERVILLE |
| Zip Code | 29485 |
Please comment or provide details below to improve the information on KELLY L STEVENS.
| 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.