Individual provider Active NPI

Deborah Stilt, M.A. ED.

  • Counselor
  • Skyforest, CA
National Provider Identifier
1093144396
Registry record updated Nov 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
RI-S1307220732 Issued in CA
Practice address
28545 State Highway 18
Skyforest, CA 92385
Phone
(909) 336-1800
Fax
(909) 336-0990
NPI assigned
Nov 6, 2013
Last updated
Nov 6, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X RI-S1307220732 CA Primary

Addresses

Primary practice location

28545 State Highway 18
Skyforest, CA 92385

Mailing address

P.O. Box 578
Skyforest, CA 92385
Phone (909) 336-1800

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 Arts

State licenses

LicenseStateTypeSpecialty
RI-S1307220732CAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rim Family Services, Inc. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1383696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383696000000",
    "number": "1093144396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 578",
            "city": "SKYFOREST",
            "state": "CA",
            "postal_code": "92385",
            "telephone_number": "909-336-1800",
            "fax_number": "909-336-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28545 STATE HIGHWAY 18",
            "city": "SKYFOREST",
            "state": "CA",
            "postal_code": "92385",
            "telephone_number": "909-336-1800",
            "fax_number": "909-336-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STILT",
        "first_name": "DEBORAH",
        "credential": "M.A. ED.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-06",
        "last_updated": "2013-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "RI-S1307220732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skyforest, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2013; 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.