Jane Stjohn, LPA, LCAS

Primary specialty

PsychologistTaxonomy code 103T00000X

License

952 Issued in NC

Practice address

1606 Physicians Dr Ste 104
Wilmington, NC 28401-7348

Phone

(910) 343-6890

Fax

(910) 332-1233

NPI assigned

Nov 15, 2005

Last updated

Jan 15, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Delta Behavioral Health PLLC

  • Psychologist
  • Wilmington, NC
  • NPI 1619959871
  NPD (past)

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579046400000",
    "number": "1053393215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 TRADD CT",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284016637",
            "telephone_number": "910-343-6890",
            "fax_number": "910-332-1233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1606 PHYSICIANS DR STE 104",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017348",
            "telephone_number": "910-343-6890",
            "fax_number": "910-332-1233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STJOHN",
        "first_name": "JANE",
        "credential": "LPA, LCAS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-15",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6107078",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stillpoint Counseling and Wellness, PLLC
• Peggy P Stine, CRNA
• Gina Morris Stinson, PA
• Jeffrey Allen Stinson, M.D.
• Matthew Stinson, OTR
• Heather Stoddard, SLP
• Jennifer Kate Stoddard, MD
• Kassandra J. Stoffer, FNP
• Brynn Lane Stofferahn, CRNA
• Deborah Ann Stoia, PHYSICIAN ASSISTANT

• Psychologist in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; 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.