Provider Type Icon

STEPHANIE GIMENEZ NCC LPCA LCAS-A NPI 1609383736


NPI Information

NPI: 1609383736
Provider Name: STEPHANIE GIMENEZ, NCC, LPCA, LCAS-A
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
163 STRATFORD CT STE 225
WINSTON SALEM, NC
ZIP 27103
Phone: (336) 986-2720
Get Directions

Stephanie Gimenez, NCC, LPCA, LCAS-A is a mental health counselor in Winston Salem, NC. Stephanie Gimenez, NCC, LPCA, LCAS-A NPI is 1609383736. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

163 STRATFORD CT STE 225
WINSTON SALEM, NC
ZIP 27103-836
Phone: (336) 986-2720

The enumeration date for this NPI number is 1/10/2018 and was last updated on 10/10/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)LCAS-24441NORTH CAROLINANo
2101YM0800XCounselorMental HealthA13588NORTH CAROLINAYes
3101YP2500XCounselorProfessionalA13588NORTH CAROLINANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.