STEPHANIE LYNN MCCREARY
NPI 1144864430
Counselor - Professional in Santa Fe, NM

Q: What is Stephanie Mccreary's NPI number?

The NPI number for Stephanie Mccreary is 1144864430. It was assigned to this individual provider in the NPPES registry on October 30, 2019.

Q: What is Stephanie Mccreary's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Active since October 30, 2019PECOS Enrolled

4001 OFFICE COURT DR STE 906, SANTA FE, NM 87507(505) 670-2861 Get Directions Write a Review

NPPES record last updated: September 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 15, 2021, Oct 30, 2019 (2 updates tracked since 2019).

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About Stephanie Lynn Mccreary NPPES

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

STEPHANIE LYNN MCCREARY (NPI 1144864430) is an individual professional provider in Santa Fe, New Mexico, licensed in New Mexico (CTB-2025-0596) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1144864430

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameSTEPHANIE LYNN MCCREARY

Location Address4001 OFFICE COURT DR STE 906Santa Fe, NM 87507-4929

Mailing Address5021 Agua Fria Park Rd Unit BSanta Fe, NM 87507-3424 · (720) 229-2522

Phone(505) 670-2861

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateOctober 30, 2019

Last NPPES UpdateSeptember 22, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 22, 2025

✔ NPI 1144864430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in NM · CTB-2025-0596

Also ListedDoulaTaxonomy 374J00000X

4001 OFFICE COURT DR STE 906, Santa Fe, NM 87507

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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)

Stephanie Lynn Mccreary is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4082108477

PECOS Enrollment IDI20251212001824

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.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TYLER RIEMANN

Peer Specialist