Corinne Stovall

Primary specialty

CounselorTaxonomy code 101Y00000X

License

CG60865801 Issued in WA

Practice address

1313 NE 134TH St Ste 220a
Vancouver, WA 98685-2722

Phone

(253) 508-4602

Fax

(360) 737-6663

NPI assigned

Aug 8, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1470614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633651200000",
    "number": "1083168090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 NE 134TH ST STE 220A",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986852722",
            "telephone_number": "253-508-4602",
            "fax_number": "360-737-6663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 NE 134TH ST STE 220A",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986852722",
            "telephone_number": "253-508-4602",
            "fax_number": "360-737-6663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOVALL",
        "first_name": "CORINNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-08",
        "last_updated": "2021-10-08",
        "certification_date": "2021-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "CG60865801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Kyrie Storm, MA, LMHCA
• Renee Denise Storm, APRN
• Toni Lucille Storm, MD
• Story Unfolding LLC
• Michael John Stout
• Cynthia M Stovall, LMP
• Emily Stover, RRT
• Pamela R Stover, ARNP
• Sydney Stovicek
• Alicia Stowe

• Counselor in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2021; 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.