Organization Active NPI

Stone Therapy and Consulting, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Gainesville, FL
National Provider Identifier
1033832605
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
STONE THERAPY AND CONSULTING, LLC
Practice address
3131 NW 13TH St
Gainesville, FL 32609-5902
Phone
(386) 316-6948
NPI assigned
Sep 20, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2022

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

Authorized official

Name
Ezra Lavender Stone, LCSWNPI 1356806814
Title
Clinician Owner
Phone
(386) 316-6948

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

3131 NW 13TH St
Gainesville, FL 32609-5902

Mailing address

1842 NE 167TH PL
Gainesville, FL 32609-4515
Phone (386) 316-6948

Other identifiers 1

IdentifierTypeStateIssuer
1356806814OtherINDIVIDUAL NPI NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231026003150 FL Part B Supplier - Clinic/Group Practice 8022464080 Receives reassigned benefits from 1 practitioner
Practice locations: Gainesville, FL

National Provider Directory

National Provider Directory

Locations

3131 NW 13th St
Gainesville, FL 32609
Phone (386) 316-6948

901 NW 8th Ave
Ste C19
Gainesville, FL 32601
Phone (352) 448-7844

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1663632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663632000000",
    "number": "1033832605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1842 NE 167TH PL",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326094515",
            "telephone_number": "386-316-6948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 NW 13TH ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326095902",
            "telephone_number": "386-316-6948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONE THERAPY AND CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-20",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "EZRA",
        "authorized_official_middle_name": "LAVENDER",
        "authorized_official_title_or_position": "CLINICIAN OWNER",
        "authorized_official_telephone_number": "386-316-6948",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1356806814",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.