Individual provider Active NPI

Krista Stanzione, MS, LGPC

  • Professional Counselor
  • Frederick, MD
National Provider Identifier
1013523083
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LGP10616 Issued in MD
Practice address
5301 Buckeystown Pike Ste 480F
Frederick, MD 21704-8370
Phone
(240) 823-5890
NPI assigned
Sep 16, 2020
Reactivated
Oct 7, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LGP10616 MD Primary

Addresses

Primary practice location

5301 Buckeystown Pike Ste 480F
Frederick, MD 21704-8370

Mailing address

3 Dean LN
Middletown, MD 21769-7975
Phone (443) 286-8666

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL None Other

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LGP10616MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Stanzione Counseling & Wellness, L.L.C. CurrentSince Dec 18, 2022 Accepting new patients

Locations

5301 Buckeystown Pike
Ste 480F
Frederick, MD 21704
Phone (240) 823-5890

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1600214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670976000000",
    "number": "1013523083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 DEAN LN",
            "city": "MIDDLETOWN",
            "state": "MD",
            "postal_code": "217697975",
            "telephone_number": "443-286-8666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 BUCKEYSTOWN PIKE STE 480F",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217048370",
            "telephone_number": "240-823-5890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANZIONE",
        "first_name": "KRISTA",
        "credential": "MS, LGPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-16",
        "last_updated": "2022-12-14",
        "certification_date": "2021-10-07",
        "deactivation_date": "2021-09-23",
        "reactivation_date": "2021-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LGP10616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "None",
            "affiliation": "N",
            "endpointDescription": "None",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "None",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "None",
            "address_1": "10 Distillery Rd Ste 200",
            "city": "Westminster",
            "state": "MD",
            "country_code": "US",
            "postal_code": "211575344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; 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.