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KENNETH J STEPHENSON LPC
NPI 1902023252
Counselor in Indian Trail, NC

Active since April 19, 2007PECOS Enrolled
4389 INDIAN TRAIL FAIRVIEW RD STE 23, INDIAN TRAIL, NC 28079(704) 526-9905 Get Directions Write a Review

NPPES record last updated: November 1, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kenneth J Stephenson Lpc NPPES

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

KENNETH J STEPHENSON LPC (NPI 1902023252) is an individual counselor in Indian Trail, North Carolina, licensed in North Carolina (4811) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902023252
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameKENNETH J STEPHENSONCredential: LPC
Location Address4389 INDIAN TRAIL FAIRVIEW RD STE 23Indian Trail, NC 28079-9649
Mailing Address200 Dutchmans Meadow DrMount Holly, NC 28120-3004 · (704) 951-0055
Phone(704) 526-9905
Sole ProprietorNo
Enumeration DateApril 19, 2007
Last NPPES UpdateNovember 1, 2011
✔ NPI 1902023252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in NC · 4811
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
4389 INDIAN TRAIL FAIRVIEW RD STE 23, Indian Trail, NC 28079
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Other Identifiers 4

Other9727178NC · Aetna
Other11871065NC · Caqh
Medicaid6102986NC
Other0312590692NC · Liability Insurance Hpso

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Cigna Healthcare, Oscar Health Plan of North Carolina, Inc and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenneth J Stephenson Lpc 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 Reassignment

Medicare enrollment records show Kenneth Stephenson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Walgren Counseling, PLLC
3.3 mi
Clinical
3021 SENNA DR STE B
Matthews, NC 28105
  • Reassigned Medicare billing, North Carolina enrollment
  • 10 clinicians in this Medicare group
NPI 1235422742 (704) 443-0144

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

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 Kenneth Stephenson's NPI number?

The NPI number for Kenneth Stephenson is 1902023252. It was assigned to this individual provider in the NPPES registry on April 19, 2007.

Where is Kenneth Stephenson located?

Kenneth Stephenson practices at 4389 Indian Trail Fairview Rd Ste 23, Indian Trail, NC 28079. The listed phone number is (704) 526-9905.

What is Kenneth Stephenson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Kenneth Stephenson enrolled in Medicare?

Yes. Kenneth Stephenson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kenneth Stephenson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Stephenson reassigns Medicare benefits to Walgren Counseling, PLLC (Matthews, NC). The 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 Kenneth Stephenson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kenneth Stephenson accept?

Health plans from Blue Cross and Blue Shield of NC, Cigna Healthcare, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Kenneth Stephenson 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 Kenneth Stephenson was last updated on November 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.