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MR. STEPHEN REED MCILVAINE JR. M.A.
NPI 1720180391
Counselor - Professional in Chattanooga, TN

Active since September 02, 2006Opted out of Medicare · through Mar 7, 2028
105 LEE PKWY W, SUITE H, CHATTANOOGA, TN 37421(423) 499-9335(423) 499-9334 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Stephen Reed Mcilvaine Jr. M.a. NPPES

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

MR. STEPHEN REED MCILVAINE JR. M.A. (NPI 1720180391) is an individual professional provider in Chattanooga, Tennessee, licensed in Tennessee (560) and active in the NPI registry since September 2006. He has opted out of Medicare through March 7, 2028.

NPPES Registry Identity

NPI1720180391
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. STEPHEN REED MCILVAINE JR.Credential: M.A.
Location Address105 LEE PKWY W, SUITE HChattanooga, TN 37421-6771
Mailing Address9309 Berkshire CirChattanooga, TN 37421-4446 · (423) 280-2643 · Fax (423) 499-9334
Phone(423) 499-9335
Fax(423) 499-9334
Sole ProprietorNo
Enumeration DateSeptember 2, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1720180391 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 TN · 560
105 LEE PKWY W, Chattanooga, TN 37421
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mr. Stephen Reed Mcilvaine Jr. M.a. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 7, 2024 through March 7, 2028.

Opt-Out Effective DateMarch 7, 2024
Opt-Out In Effect ThroughMarch 7, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Stephen Mcilvaine's NPI number?

The NPI number for Stephen Mcilvaine is 1720180391. It was assigned to this individual provider in the NPPES registry on September 2, 2006.

Where is Stephen Mcilvaine located?

Stephen Mcilvaine practices at 105 Lee Pkwy W Suite H, Chattanooga, TN 37421. The listed phone number is (423) 499-9335.

What is Stephen Mcilvaine's specialty?

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

Is Stephen Mcilvaine enrolled in Medicare?

No. Stephen Mcilvaine has opted out of Medicare through March 7, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Stephen Mcilvaine was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.