Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Stephanie Choi, LPC-MHSP

Individual provider Professional Counselor · NPI 1114406097

Stephanie Choi, LPC-MHSP is a Mental Health Counselor in Grand Rapids, Michigan. Qualified in 2018, 8 years ago. Practices with Dr Nicole Black PHD Lpc-S Lcdc Rpt PLLC, a 3-clinician group and accepts Medicare assignment. Licensed in Michigan, Tennessee and Texas.

Years since qualifying
8
Licensed in
MI, TN, TX
In the registry since
2018
Specialties on file
3
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Practice location Address checks out

678 Frnt Ave NW Ste 100
Grand Rapids, MI 49504-5323
Phone: (616) 916-3711
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 6401018624 (MI)
Professional Counselor Taxonomy 101YP2500X · Licence 88420 (TX)
Professional Counselor Taxonomy 101YP2500X · Licence 6600 (TN)

Record details

NPI number1114406097
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC-MHSP
Sole proprietorNo
NPI enumeratedAugust 10, 2018
Last updated in NPPESDecember 1, 2023
Certification dateDecember 1, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Dr Nicole Black Phd Lpc-S Lcdc Rpt Pllc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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