STEPHANIE GILLIS (NPI# 1861525230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861525230 |
| Entity Type | Individual |
| Full Name | STEPHANIE GILLIS |
| Credential | LMFT |
| Practice Address |
4925 Charlestown Rd New Albany IN 47150-9426 |
| Practice Telephone | 8129419200 |
| Practice Fax Number | 8129419205 |
| Mailing Telephone | 8129419200 |
| Mailing Fax Number | 8129419205 |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2016-06-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 35001677A | IN | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | 556 | KY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM | 000000608641 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790069490 | Stephanie Rae Gillis | Nurse Practitioner | 3300 Centennial Ln, Ellicott City, MD 21042-3600 | 2011-09-29 |
| 1871988436 | Stephanie Diane Gillis | Student in an Organized Health Care Education/Training Program | Ucsf Department of Surgery, 513 Parnassus Avenue, S-321, San Francisco, CA 94143-0470 | 2015-03-31 |
| 1437241197 | Stephanie E Gillis | Family Medicine | 2695 Hendersonville Rd, Suite 204, Arden, NC 28704-8576 | 2006-09-29 |
| Street Address |
4925 CHARLESTOWN RD |
| City | NEW ALBANY |
| State | IN |
| Zip Code | 47150-9426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427150044 | Connie J Richter | Social Worker | 4925 Charlestown Rd, New Albany, IN 47150-9426 | 2006-09-03 |
| 1477971547 | Victoria Fisher | Marriage & Family Therapist | 4925 Charlestown Rd, New Albany, IN 47150-9426 | 2014-04-04 |
| 1417154584 | Courtland, LLC | Counselor | 4925 Charlestown Rd, New Albany, IN 47150-9426 | 2007-07-01 |
| 1083833255 | Charles Robert Love | Counselor | 4925 Charlestown Rd, New Albany, IN 47150-9426 | 2007-04-25 |
| 1932256096 | Courtney E Land | Counselor | 4925 Charlestown Rd, New Albany, IN 47150-9426 | 2007-01-04 |
| 1205999240 | Anne Megan Hoskins | Nurse Practitioner | 4925 Charlestown Rd, New Albany, IN 47150-9426 | 2006-12-19 |
| 1104985605 | Therese Marie Keeling | Psychiatry & Neurology | 4925 Charlestown Rd, New Albany, IN 47150-9426 | 2006-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396385050 | Essential Pediatrics | Physical Therapist | 1614 Slate Run Road, New Albany, IN 47150 | 2020-01-10 |
| 1871075234 | Katie Lyn Vincent | Speech-Language Pathologist | 845 Park Place, New Albany, IN 47150 | 2018-09-02 |
| 1326528811 | Donna Casey Laduke | Respiratory Therapist, Registered | Baptist Health Floyd, 1850 State Street, New Albany, IN 47150 | 2018-08-15 |
| 1003307232 | Shelby Paige Buffin | Social Worker | 1612 Dewey St., Bld. 6 Apt. 2, New Albany, IN 47150 | 2018-05-23 |
| 1104315902 | Whitney Nicole Malloy | Physician Assistant | 2108 State Street, New Albany, IN 47150 | 2018-05-07 |
| 1942728472 | Cleanse Clinic Jeffersonville LLC | Psychiatry & Neurology | 2818 Grant Line Rd Ste 2, New Albany, IN 47150 | 2017-09-05 |
| 1881110765 | Kristy Marie Delaney | Social Worker | 1144 Creekview Circle, New Albany, IN 47150 | 2017-08-22 |
| 1891217030 | Sarah H. Wilson | Physician Assistant | 1919 State St Ste 362, New Albany, IN 47150 | 2017-07-10 |
| 1861939290 | Lauren Brenneman Pollock | Audiologist | 3211 Grant Line Rd St. #37, New Albany, IN 47150 | 2017-01-24 |
| 1861850414 | Kiley Madaleno | Speech-Language Pathologist | 4915 Charlestown Road, New Albany, IN 47150 | 2016-02-10 |
| Find all providers in zip 47150 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477971547 | Victoria Fisher | Marriage & Family Therapist | 4925 Charlestown Rd, New Albany, IN 47150-9426 | 2014-04-04 |
| 1033550165 | Mckenzie Beth Smith | Marriage & Family Therapist | 702 E Market St, New Albany, IN 47150-2916 | 2013-07-17 |
| 1174837926 | Virginia Darlene Tackett | Marriage & Family Therapist | 1919 State St, Suite 322, New Albany, IN 47150-4929 | 2010-08-04 |
| 1861605958 | Joyce Maurer Smith | Marriage & Family Therapist | 202 East Elm Street, New Albany, IN 47150 | 2007-05-07 |
| 1467529552 | Carol Anne Dougherty | Marriage & Family Therapist | 1919 State St, Dougherty Counseling Center Suite 202, New Albany, IN 47150 | 2006-11-30 |
| 1316944432 | Selena Wisman | Marriage & Family Therapist | 229 W Spring St, New Albany, IN 47150 | 2005-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689273112 | Melissa Ramos Bauzo, LLC | Marriage & Family Therapist | 3021 E 98th Street, 110, Indianapolis, IN 46280 | 2020-10-26 |
| 1205440112 | Vanessa Renee Smith Mccullough | Marriage & Family Therapist | 12645 Teacup Way, Indianapolis, IN 46235-6115 | 2020-09-08 |
| 1396362919 | Briana N Roberts | Marriage & Family Therapist | 2021 E 84th St Apt 2b, Merrillville, IN 46410-8305 | 2020-06-30 |
| 1023634508 | Stephanie Bagato | Marriage & Family Therapist | 6411 S East St Ste A, Indianapolis, IN 46227-2737 | 2020-06-22 |
| 1093330920 | Ann Marie Ravenna | Marriage & Family Therapist | 54 N 9th St Ste 254, Noblesville, IN 46060-2208 | 2020-06-16 |
| 1770107435 | Lauren Salazar | Marriage & Family Therapist | 54 N 9th St Ste 230, Noblesville, IN 46060-2208 | 2020-05-28 |
| 1821627191 | Free To Flourish Counseling and Consulting | Marriage & Family Therapist | 4304 W Coyote Run Court, Muncie, IN 47304 | 2020-04-07 |
| 1437785060 | Crystal Jessee | Marriage & Family Therapist | 7230 Arbuckle Cmns Ste 239, Brownsburg, IN 46112-1797 | 2020-03-16 |
| 1598391104 | Michele Prible | Marriage & Family Therapist | 819 E 64th St Ste 238, Indianapolis, IN 46220-6609 | 2020-03-15 |
| 1487287371 | Fort Wayne Counseling Services | Marriage & Family Therapist | 6319 Mutual Dr Ste F, Fort Wayne, IN 46825-4246 | 2020-02-19 |
| Find all providers with the same taxonomy | ||||
| City | NEW ALBANY |
| Zip Code | 47150 |
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| 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.