MARY SHANNON VANSTAVOREN P-LCSW
NPI 1689902397
Counselor - Mental Health in Fort Stewart, GA

Active since November 19, 2009PECOS Enrolled
1061 HARMON AVE, SUITE 1D03, FORT STEWART, GA 31314(912) 435-6965 Get Directions Write a Review

NPPES record last updated: November 17, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Shannon Vanstavoren P-lcsw NPPES

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

MARY SHANNON VANSTAVOREN P-LCSW (NPI 1689902397) is an individual mental health provider in Fort Stewart, Georgia, licensed in North Carolina (C007883) and active in the NPI registry since November 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689902397
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMARY SHANNON VANSTAVORENCredential: P-LCSW
Location Address1061 HARMON AVE, SUITE 1D03Fort Stewart, GA 31314-5641
Mailing Address1061 Harmon Avenue, Suite 1d03Fort Stewart, GA 31314-5674 · (912) 435-6965
Sole ProprietorNo
Enumeration DateNovember 19, 2009
Last NPPES UpdateNovember 17, 2015
NPI 1689902397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in NC · C007883
1061 HARMON AVE, Fort Stewart, GA 31314

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mary Shannon Vanstavoren P-lcsw 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.

Other Providers at the Same Location NPPES 20

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

Registered Nurse (Continuing Education/Staff Development)
1061 HARMON AVE
FORT STEWART, GA 31314
Registered Nurse (Case Management)
1061 HARMON AVE
FORT STEWART, GA 31314
Licensed Practical Nurse
1061 HARMON AVE
FORT STEWART, GA 31314
Dental Assistant
1061 HARMON AVE
FORT STEWART, GA 31314
Licensed Practical Nurse
1061 HARMON AVE
FORT STEWART, GA 31314
Nurse Practitioner (Family)
1061 HARMON AVE, DMC/IMC
FORT STEWART, GA 31314
Social Worker (Clinical)
1061 HARMON AVE
FORT STEWART, GA 31314
Pharmacist
1061 HARMON AVE, STE 1D03
FORT STEWART, GA 31314

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 Mary Vanstavoren's NPI number?

The NPI number for Mary Vanstavoren is 1689902397. It was assigned to this individual provider in the NPPES registry on November 19, 2009.

Where is Mary Vanstavoren located?

Mary Vanstavoren practices at 1061 Harmon Ave Suite 1d03, Fort Stewart, GA 31314. The listed phone number is (912) 435-6965.

What is Mary Vanstavoren's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Mary Vanstavoren enrolled in Medicare?

Yes. Mary Vanstavoren is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Vanstavoren was last updated on November 17, 2015. 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.