Active NPI
Jayne E Stelley, CPRP
- Counselor
- Tampa, FL
National Provider Identifier
1083701874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 166596
- Practice address
- 10770 N 46TH Street
Ste. A400
Tampa, FL 33617 - Phone
- (813) 610-3242
- NPI assigned
- Oct 5, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 166596 | CT | Primary |
Addresses
Primary practice location
10770 N 46TH Street
Ste. A400
Tampa, FL 33617
Mailing address
3611 W. Renellie Circle
Tampa, FL 33629
Phone (813) 610-3242
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 166596 | Other | CT | CERTIFIED PSYCHIATRIC PRA |
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 |
|---|---|---|---|
| 166596 | CT | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083701874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3611 W. RENELLIE CIRCLE",
"city": "TAMPA",
"state": "FL",
"postal_code": "33629",
"telephone_number": "813-610-3242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10770 N 46TH STREET",
"address_2": "STE. A400",
"city": "TAMPA",
"state": "FL",
"postal_code": "33617",
"telephone_number": "813-610-3242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STELLEY",
"first_name": "JAYNE",
"middle_name": "E",
"name_prefix": "Ms.",
"credential": "CPRP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CT",
"license": "166596",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFIED PSYCHIATRIC PRA",
"identifier": "166596",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.