William Stambaugh

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

183524 Issued in OH

Practice address

4342 Gallia St Ste a
Portsmouth, OH 45662-5563

Phone

(740) 529-1184

Fax

(740) 876-4118

NPI assigned

Dec 20, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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": "1576800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1083252068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 TOWNSHIP ROAD 1003",
            "city": "KITTS HILL",
            "state": "OH",
            "postal_code": "456459043",
            "telephone_number": "740-237-5750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4342 GALLIA ST STE A",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456625563",
            "telephone_number": "740-529-1184",
            "fax_number": "740-876-4118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAMBAUGH",
        "first_name": "WILLIAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-20",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "183524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "PORTSMOUTH",
            "affiliation": "N",
            "endpointDescription": "executivedirector.shrc@yahoo.com",
            "address_1": "4342 Gallia St Ste A",
            "city": "Portsmouth",
            "state": "OH",
            "country_code": "US",
            "postal_code": "456625563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sriharsha Velury M.D., PSC
• Samantha Stacey
• Tylon Staggs, RN
• George V Staker Jr., LISW
• Staker'S Service Drugs,Inc
• Ariel Lanae Stamper, BA, MA, ED.S
• Jennifer Gail Stamper
• Katherine Stamper
• Marian Stamper
• Timothy Stamper

• Addiction (Substance Use Disorder) Counselor in Portsmouth, OH
• Providers in Portsmouth, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; 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.