Kelly Ann Stanley

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

10653-C Issued in NV

Practice address

180 Country Estates Cir
Reno, NV 89511-4013

Phone

(775) 870-5027

NPI assigned

Jun 9, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• True North Treatment Center LLC

  • Community/Behavioral Health Agency
  • Reno, NV
  • NPI 1205294782
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1465430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1003265042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 COUNTRY ESTATES CIR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895114013",
            "fax_number": "775-284-4595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 COUNTRY ESTATES CIR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895114013",
            "telephone_number": "775-870-5027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-09",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "10653-C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003069485",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kendell Rae Rogers Standifer
• Thomas L Standlee, M.D.
• Michael Stanko, MD
• Sarah Stanko, MD
• Hunter Stanley
• Jeriann Stansberry
• Cory Edward Stanton, M.S.
• Elizabeth Stanton
• Lisa Kaye Stapleton
• Madison Scout Stargell, PA-C

• Clinical Social Worker in Reno, NV
• Providers in Reno, NV by specialty
• Clinical Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.