STEFANIE E RIDER MA NPI 1932356250

NPI Information

  • NPI: 1932356250
  • Provider Name: STEFANIE E RIDER, MA
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 5927 MONTGOMERY RD
    VEVAY, IN
    ZIP 47043
  • Phone: (317) 537-7483

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NPI Details

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
1101Y00000XCounselorNo
2101YA0400XCounselorAddiction (Substance Use Disorder)No
3101YM0800XCounselorMental HealthNo
4101YM0800XCounselorMental HealthTPMC3198FLORIDANo
5101YM0800XCounselorMental HealthCTB-2022-0724NEW MEXICONo
6101YP2500XCounselorProfessionalLPC.0019066COLORADONo
7101YP2500XCounselorProfessionalCTB-2022-0724NEW MEXICONo
8101YP2500XCounselorProfessionalTLC435PCSOUTH CAROLINANo
9101YP2500XCounselorProfessional701011944VIRGINIANo
10101YM0800XCounselorMental Health39002259AINDIANAYes

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
1100264520MEDICAIDINDIANA

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: 11/21/2025

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