STEFANIE E RIDER MA NPI 1932356250

NPI Information

NPI: 1932356250
Provider Name: STEFANIE E RIDER, MA
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
5927 MONTGOMERY RD
VEVAY, IN
ZIP 47043
Phone: (317) 537-7483
Get Directions

Stefanie E Rider, MA is a mental health counselor in Vevay, IN. Stefanie E Rider, MA NPI is 1932356250. 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:

5927 MONTGOMERY RD
VEVAY, IN
ZIP 47043
Phone: (317) 537-7483

The enumeration date for this NPI number is 8/19/2008 and was last updated on 5/8/2023.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor				No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)			No
3	101YM0800X	Counselor	Mental Health			No
4	101YM0800X	Counselor	Mental Health	TPMC3198	FLORIDA	No
5	101YM0800X	Counselor	Mental Health	CTB-2022-0724	NEW MEXICO	No
6	101YP2500X	Counselor	Professional	LPC.0019066	COLORADO	No
7	101YP2500X	Counselor	Professional	CTB-2022-0724	NEW MEXICO	No
8	101YP2500X	Counselor	Professional	TLC435PC	SOUTH CAROLINA	No
9	101YP2500X	Counselor	Professional	701011944	VIRGINIA	No
10	101YM0800X	Counselor	Mental Health	39002259A	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	100264520	MEDICAID	INDIANA

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: 4/28/2024

NPI Synchronization or Removal

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