Active NPI
Jaye Lynn Stanley, LPC
- Professional Counselor
- Williamsburg, VA
National Provider Identifier
1083341002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701014325
- Practice address
- 3204 Ironbound Rd Ste D
Williamsburg, VA 23188-2410 - Phone
- (757) 274-9354
- NPI assigned
- Aug 1, 2022
- 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 | 0701014325 | VA | Primary |
Addresses
Primary practice location
3204 Ironbound Rd Ste D
Williamsburg, VA 23188-2410
Mailing address
2903 Lake Powell Rd
Williamsburg, VA 23185-3721
Phone (757) 646-8845
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701014325 | VA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iron Vines Counseling LLC | Counselor | Current | Accepting new patients |
Locations
3204 Ironbound Rd
Ste D
Williamsburg, VA 23188
Phone (757) 274-9354
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Professional Counselor
- Williamsburg, VA
- NPI 1417696907
-
- Voluntary or Charitable Agency
- Williamsburg, VA
- NPI 1750065850
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734480000000",
"number": "1083341002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2903 LAKE POWELL RD",
"city": "WILLIAMSBURG",
"state": "VA",
"postal_code": "231853721",
"telephone_number": "757-646-8845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3204 IRONBOUND RD STE D",
"city": "WILLIAMSBURG",
"state": "VA",
"postal_code": "231882410",
"telephone_number": "757-274-9354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANLEY",
"first_name": "JAYE",
"middle_name": "LYNN",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-01",
"last_updated": "2024-12-18",
"certification_date": "2024-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701014325",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Williamsburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.