STEPHANIE L. BASHAM LPC
NPI 1417955659
Counselor - Professional in Springfield, MO

Active since July 12, 2005PECOS Enrolled
1736 E SUNSHINE ST STE 811, SPRINGFIELD, MO 65804(417) 719-1441 Get Directions Write a Review

NPPES record last updated: May 14, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stephanie L. Basham Lpc NPPES

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

STEPHANIE L. BASHAM LPC (NPI 1417955659) is an individual professional provider in Springfield, Missouri, licensed in Missouri (002124) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS and is a graduate of Other (1993).

NPPES Registry Identity

NPI1417955659
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSTEPHANIE L. BASHAMCredential: LPC
Location Address1736 E SUNSHINE ST STE 811Springfield, MO 65804-1334
Mailing Address1736 E Sunshine St Ste 811Springfield, MO 65804-1334 · (417) 719-1441
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateJuly 12, 2005
Last NPPES UpdateMay 14, 2026
NPPES CertifiedMay 14, 2026
NPI 1417955659 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 · 002124
1736 E SUNSHINE ST STE 811, Springfield, MO 65804

Other Identifiers 1

Medicaid494683105MO

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 L. Basham Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9931679198
PECOS Enrollment IDI20260528003259
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 2

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

Counselor (Mental Health)
1736 E SUNSHINE ST STE 811
SPRINGFIELD, MO 65804
Counselor (Professional)
1736 E SUNSHINE ST STE 811
SPRINGFIELD, MO 65804

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephanie Basham's NPI number?

The NPI number for Stephanie Basham is 1417955659. It was assigned to this individual provider in the NPPES registry on July 12, 2005.

Where is Stephanie Basham located?

Stephanie Basham practices at 1736 E Sunshine St Ste 811, Springfield, MO 65804. The listed phone number is (417) 719-1441.

What is Stephanie Basham's specialty?

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

Is Stephanie Basham enrolled in Medicare?

Yes. Stephanie Basham is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stephanie Basham was last updated on May 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.