Active NPI
Stephanie Clanton, LPC
- Professional Counselor
- Richardson, TX
National Provider Identifier
1053797969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 67080
- Practice address
- 1701 Gateway Blvd Ste 405
Richardson, TX 75080-3627 - Phone
- (657) 229-0620
- NPI assigned
- Aug 3, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 67080 | TX | Primary |
Addresses
Primary practice location
1701 Gateway Blvd Ste 405
Richardson, TX 75080-3627
Mailing address
2490 El Cerrito Dr
Dallas, TX 75228-5911
Phone (657) 229-0620
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
| License | State | Type | Specialty |
|---|---|---|---|
| 67080 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438560000000",
"number": "1053797969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2490 EL CERRITO DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752285911",
"telephone_number": "657-229-0620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 GATEWAY BLVD STE 405",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750803627",
"telephone_number": "657-229-0620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLANTON",
"first_name": "STEPHANIE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-03",
"last_updated": "2015-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "67080",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richardson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.