Active NPI
Ursula Stein, LCSW
- Counselor
- Orange Park, FL
National Provider Identifier
1063593481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- SW1837
- Practice address
- 2105 Park Ave
Suite 11
Orange Park, FL 32073-5583 - Phone
- (904) 215-5331
- Fax
- (904) 215-5331
- NPI assigned
- Oct 19, 2006
- Last updated
- Feb 27, 2009
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | SW1837 | FL | Primary |
Addresses
Primary practice location
2105 Park Ave
Suite 11
Orange Park, FL 32073-5583
Mailing address
2105 Park Ave
Suite 11
Orange Park, FL 32073-5583
Phone (904) 215-5331
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235692800000",
"number": "1063593481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2105 PARK AVE",
"address_2": "SUITE 11",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320735583",
"telephone_number": "904-215-5331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2105 PARK AVE",
"address_2": "SUITE 11",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320735583",
"telephone_number": "904-215-5331",
"fax_number": "904-215-5331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEIN",
"first_name": "URSULA",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-19",
"last_updated": "2009-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "FL",
"license": "SW1837",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.