Kenneth J Stephenson, LPC in Indian Trail, NC

Kenneth J Stephenson, LPC is a medicare enrolled "Counselor" provider in Indian Trail, North Carolina. His current practice location is 4389 Indian Trail Fairview Rd Ste 23, Indian Trail, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 526-9905.

Kenneth J Stephenson is licensed to practice in North Carolina (license number 4811) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1902023252.

Contact Information

	Kenneth J Stephenson, LPC
	4389 Indian Trail Fairview Rd Ste 23, Indian Trail, NC 28079-9649
	(704) 526-9905
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kenneth J Stephenson
Gender	Male
Speciality	Counselor
Location	4389 Indian Trail Fairview Rd Ste 23, Indian Trail, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902023252
Provider Enumeration Date: 04/19/2007
Last Update Date: 11/01/2011

Medicare PECOS Information:

PECOS PAC ID: 9638512320
Enrollment ID: I20240209001502

Medical Identifiers

Medical identifiers for Kenneth J Stephenson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902023252	NPI	-	NPPES
11871065	Other	NC	CAQH
0312590692	Other	NC	LIABILITY INSURANCE HPSO
6102986	Medicaid	NC
9727178	Other	NC	AETNA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	4811 (North Carolina)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kenneth J Stephenson allows following entities to bill medicare on his behalf.

Entity Name	Walgren Counseling, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235422742 PECOS PAC ID: 9638348857 Enrollment ID: O20110804000381

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kenneth J Stephenson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kenneth J Stephenson, LPC 200 Dutchmans Meadow Dr, Mount Holly, NC 28120-3004 Ph: (704) 951-0055	Kenneth J Stephenson, LPC 4389 Indian Trail Fairview Rd Ste 23, Indian Trail, NC 28079-9649 Ph: (704) 526-9905

Reviews and Comments

Counselor in Indian Trail, NC

Michael Clark-borenstein, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3800 Meeting St Ste 230, Indian Trail, NC 28079 Phone: 704-237-0705 Fax: 980-236-1356
Ms. Charlene C Hightower, PHD, LCSW-A, LCAS-A Counselor Medicare: Not Enrolled in Medicare Practice Location: 6003 Sedgewick Rd, Indian Trail, NC 28079 Phone: 336-837-9722
Payton Bencivenga, Counselor Medicare: Not Enrolled in Medicare Practice Location: 120 Unionville Indian Trail Rd W Ste B202, Indian Trail, NC 28079 Phone: 704-234-8003
Ashley Marie Brown, LCMHCA, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5519 Indian Trail Fairview Rd, Indian Trail, NC 28079 Phone: 704-879-5483
Karin Mekhaeil, Counselor Medicare: Not Enrolled in Medicare Practice Location: 120 Unionville Indian Trail Rd W Ste 100, Indian Trail, NC 28079 Phone: 704-438-9901
Mrs. Amber Hardison Youngblood, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2004 Cranston Crossing Pl, Indian Trail, NC 28079 Phone: 704-650-0343
Luke Mcmahan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 120 Unionville Indian Trail Rd W Ste B202, Indian Trail, NC 28079 Phone: 704-234-8003

Kenneth J Stephenson, LPC - Medicare Counselor in Indian Trail, NC