Active NPI
Amanda J. Stark, M.ED.
- Rehabilitation Counselor
- Dublin, OH
National Provider Identifier
1093105678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Counselor
- License
- 00096802
- Practice address
- 5500 Glendon CT
Dublin, OH 43016-3246 - Phone
- (877) 641-2010
- Fax
- (614) 822-3929
- NPI assigned
- Feb 3, 2015
- 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 |
|---|---|---|---|---|
| Rehabilitation Counselor | 225C00000X | 00096802 | IL | Primary |
Addresses
Primary practice location
5500 Glendon CT
Dublin, OH 43016-3246
Mailing address
PO Box 182848
Columbus, OH 43218-2848
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00096802 | IL | MD | Rehabilitation Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422921600000",
"number": "1093105678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 182848",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432182848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5500 GLENDON CT",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430163246",
"telephone_number": "877-641-2010",
"fax_number": "614-822-3929"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STARK",
"first_name": "AMANDA",
"middle_name": "J.",
"credential": "M.ED.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-03",
"last_updated": "2015-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "225C00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Counselor",
"state": "IL",
"license": "00096802",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dublin, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.