STEPHEN E DITTMER LPC
NPI 1013345057
Counselor - Professional in Columbia, MO

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YP2500X and a focus in Professional.

Active since October 30, 2013PECOS Enrolled

3401 BERRYWOOD DR, COLUMBIA, MO 65201(573) 777-8330(573) 777-8390 Get Directions Write a Review

NPPES record last updated: May 14, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 14, 2026, Jun 11, 2018 (2 updates tracked since 2018).

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About Stephen E Dittmer Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHEN E DITTMER LPC (NPI 1013345057) is an individual professional provider in Columbia, Missouri, licensed in Missouri (2012041052) and active in the NPI registry since October 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1013345057

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameSTEPHEN E DITTMERCredential: LPC

Location Address3401 BERRYWOOD DRColumbia, MO 65201-8372

Mailing AddressPo Box 844715Kansas City, MO 64184-4715 · (417) 761-5214 · Fax (417) 761-5065

Phone(573) 777-8330

Fax(573) 777-8390

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateOctober 30, 2013

Last NPPES UpdateMay 14, 20262 updates tracked since enumeration

NPPES CertifiedMay 14, 2026

✔ NPI 1013345057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in MO · 2012041052

3401 BERRYWOOD DR, Columbia, MO 65201

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephen E Dittmer Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6002386786

PECOS Enrollment IDI20260522000932

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.