LARRY DANIEL STEPHENS PHD, PCC
NPI 1457705600
Counselor - Professional in Vandalia, OH

Active since April 13, 2016PECOS Enrolled
407 CORPORATE CENTER DR, SUITE # D., VANDALIA, OH 45377(937) 750-9590 Get Directions Write a Review

NPPES record last updated: April 13, 2016. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Larry Daniel Stephens Phd, Pcc NPPES

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

LARRY DANIEL STEPHENS PHD, PCC (NPI 1457705600) is an individual professional provider in Vandalia, Ohio, licensed in Ohio (E0004407) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457705600
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameLARRY DANIEL STEPHENSCredential: PHD, PCC
Location Address407 CORPORATE CENTER DR, SUITE # D.Vandalia, OH 45377-1165
Mailing Address5530 Shady Oak StHuber Heights, OH 45424-4238 · (937) 235-2244
Sole ProprietorYes
Enumeration DateApril 13, 2016
✔ NPI 1457705600 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 OH · E0004407
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 101130 (OH)
407 CORPORATE CENTER DR, Vandalia, OH 45377

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Larry Daniel Stephens Phd, Pcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Larry Stephens reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Professional
11 W MONUMENT AVE STE 100
Dayton, OH 45402
  • Reassigned Medicare billing, Ohio enrollment
  • 13 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
452 W MARKET ST
Xenia, OH 45385
  • Reassigned Medicare billing, Ohio enrollment
  • 47 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

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

Optometrist
407 CORPORATE CENTER DR, STE C
VANDALIA, OH 45377

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 Larry Stephens's NPI number?

The NPI number for Larry Stephens is 1457705600. It was assigned to this individual provider in the NPPES registry on April 13, 2016.

Where is Larry Stephens located?

Larry Stephens practices at 407 Corporate Center Dr Suite # D., Vandalia, OH 45377. The listed phone number is (937) 750-9590.

What is Larry Stephens's specialty?

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

Is Larry Stephens enrolled in Medicare?

Yes. Larry Stephens is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Larry Stephens's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Larry Stephens reassigns Medicare benefits to 2 organizations: Darcie R Clark Lpcc LLC (Dayton, OH) and Tcn Behavioral Health Services, Inc. (Xenia, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Larry Stephens's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Larry Stephens accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and MedMutual list Larry Stephens as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Larry Stephens was last updated on April 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.