Linda L Stanislaw, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH11351 Issued in FL

Practice address

1340 Wright St
Daytona Beach, FL 32117-1850

Phone

(407) 616-9866

NPI assigned

May 10, 2018

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 names 1

• Linda L Squeglia Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1525910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525910400000",
    "number": "1043700586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 S ATLANTIC AVE APT 17404",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321697524",
            "telephone_number": "407-616-9866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 WRIGHT ST",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321171850",
            "telephone_number": "407-616-9866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANISLAW",
        "first_name": "LINDA",
        "middle_name": "L",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-10",
        "last_updated": "2018-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH11351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "SQUEGLIA",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sathvik Srikanth
• Luther St. James III, M.D.
• Kimberly W Stackpole
• Tyler Jay Staley, M.D.
• Molly Stamper
• Bethany Tabetha Stapinski, LCSW
• Eden Star
• Adam Starus, PA
• Kari Stausmire, MD
• Thomas Gerald Stavoy, M.D.

• Mental Health Counselor in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2018; 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.