Larry Daniel Stephens, PHD, PCC in Vandalia, OH

Larry Daniel Stephens, PHD, PCC is a medicare enrolled "Counselor - Professional" provider in Vandalia, Ohio. His current practice location is 407 Corporate Center Dr, Suite # D., Vandalia, Ohio. You can reach out to his office (for appointments etc.) via phone at (937) 750-9590.

Larry Daniel Stephens is licensed to practice in Ohio (license number E0004407) 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 1457705600.

Contact Information

	Larry Daniel Stephens, PHD, PCC
	407 Corporate Center Dr, Suite # D., Vandalia, OH 45377-1165
	(937) 750-9590
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Larry Daniel Stephens
Gender	Male
Speciality	Counselor - Professional
Location	407 Corporate Center Dr, Vandalia, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457705600
Provider Enumeration Date: 04/13/2016
Last Update Date: 04/13/2016

Medicare PECOS Information:

PECOS PAC ID: 4587017819
Enrollment ID: I20240202000066

Medical Identifiers

Medical identifiers for Larry Daniel Stephens such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457705600	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	101130 (Ohio)	Secondary
101YP2500X	Counselor - Professional	E0004407 (Ohio)	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. Larry Daniel Stephens allows following entities to bill medicare on his behalf.

Entity Name	Tcn Behavioral Health Services, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336118256 PECOS PAC ID: 8224011135 Enrollment ID: O20040611000055

Entity Name	Darcie R Clark Lpcc Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669842258 PECOS PAC ID: 3779958947 Enrollment ID: O20230331002603

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. Larry Daniel Stephens 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
Larry Daniel Stephens, PHD, PCC 5530 Shady Oak St, Huber Heights, OH 45424-4238 Ph: (937) 235-2244	Larry Daniel Stephens, PHD, PCC 407 Corporate Center Dr, Suite # D., Vandalia, OH 45377-1165 Ph: (937) 750-9590

Reviews and Comments

Counselor in Vandalia, OH

Mr. Paul Timothy Waldroop Ii, LPC,LICDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 705 S Brown School Rd, Vandalia, OH 45377 Phone: 937-890-5400 Fax: 937-890-5401
Mr. David Edward Toller Jr., M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 James Bohanan Dr, Vandalia, OH 45377 Phone: 937-742-7516 Fax: 937-415-0152
Stacy R Espinoza, LPC/CR Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 W National Rd, Vandalia, OH 45377 Phone: 937-280-2000
Rebecca Caserta, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 59 N Dixie Dr Ste C, Vandalia, OH 45377 Phone: 937-314-1659 Fax: 937-630-4391
Luke Hampel, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10987 Frederick Pike, Vandalia, OH 45377 Phone: 937-416-7097
Dayna A Siders, M.S., L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 W National Rd, Vandalia, OH 45377 Phone: 937-280-2000 Fax: 937-280-2051
Kaitlin Marie Cantrell, MS/LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 59 N Dixie Dr Ste C, Vandalia, OH 45377 Phone: 937-314-1659 Fax: 937-424-8767

Larry Daniel Stephens, PHD, PCC - Medicare Counselor in Vandalia, OH