Jeffrey George Stadler, MA LMHP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2723 Issued in NE

Practice address

190 Central Park SQ Ste 204
Los Alamos, NM 87544-4005

Phone

(575) 779-5719

NPI assigned

Feb 5, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Art Therapy Psychological Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Los Alamos, NM
  • NPI 1720846744
  NPD Authorized official

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1104965243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2423 CLUB RD",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875441501",
            "telephone_number": "575-779-5719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 CENTRAL PARK SQ STE 204",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875444005",
            "telephone_number": "575-779-5719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STADLER",
        "first_name": "JEFFREY",
        "middle_name": "GEORGE",
        "credential": "MA LMHP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2023-12-05",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "2723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "245674",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "84609",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monica J Snowden, M.D.
• Frederick H Soon, R.PH.
• Southwest Center for Child and Family Development, LLC
• Haleigh Sparks
• St. Vincent Hospital
• Starkenburg Psychological Services, LLC
• Diane Arlene Starkenburg, PSYD, MSCP
• Avis L Stein, RN
• Clare Steinberg
• Thomas S Steward, LCSW

• Mental Health Counselor in Los Alamos, NM
• Providers in Los Alamos, NM by specialty
• Mental Health Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.