Individual provider Active NPI

Deborah Ann Stanley, NCC

  • Mental Health Counselor
  • Clinton Township, MI
National Provider Identifier
1013219542
Registry record updated Dec 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6401011799 Issued in MI
Practice address
36800 S Gratiot Ave
Suite LL2
Clinton Township, MI 48035-1773
Phone
(586) 746-1428
NPI assigned
Dec 4, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6401011799 MI Primary

Addresses

Primary practice location

36800 S Gratiot Ave
Suite LL2
Clinton Township, MI 48035-1773

Mailing address

20836 Hall Rd
#132
Clinton Township, MI 48038-7227
Phone (586) 746-1428

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6401011799MIMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1291420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291420800000",
    "number": "1013219542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20836 HALL RD",
            "address_2": "#132",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480387227",
            "telephone_number": "586-746-1428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36800 S GRATIOT AVE",
            "address_2": "SUITE LL2",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480351773",
            "telephone_number": "586-746-1428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "DEBORAH",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-04",
        "last_updated": "2010-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401011799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2010; 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.