Individual provider Active NPI

Jamie Michelle Stumbo, LMFT

  • Marriage & Family Therapist
  • Crescent Springs, KY
National Provider Identifier
1114053485
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
105551 Issued in KY
Practice address
543 Terry LN Unit 2
Crescent Springs, KY 41017-1668
Phone
(859) 980-3737
Fax
(859) 331-1819
NPI assigned
Feb 23, 2007
Last updated
Jul 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 105551 KY Primary
Marriage & Family Therapist 106H00000X KY-0623 KY

Addresses

Primary practice location

543 Terry LN Unit 2
Crescent Springs, KY 41017-1668

Mailing address

543 Terry LN Unit 2
Crescent Springs, KY 41017-1668
Phone (859) 980-3737

Other identifiers 1

IdentifierTypeStateIssuer
7100297820MedicaidKY

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

LicenseStateTypeSpecialty
105551KYMDMarriage & Family Therapist
KY-0623KYMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1114053485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "543 TERRY LN UNIT 2",
            "city": "CRESCENT SPRINGS",
            "state": "KY",
            "postal_code": "410171668",
            "telephone_number": "859-980-3737",
            "fax_number": "859-331-1819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "543 TERRY LN UNIT 2",
            "city": "CRESCENT SPRINGS",
            "state": "KY",
            "postal_code": "410171668",
            "telephone_number": "859-980-3737",
            "fax_number": "859-331-1819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUMBO",
        "first_name": "JAMIE",
        "middle_name": "MICHELLE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KY",
            "license": "105551",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KY",
            "license": "KY-0623",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100297820",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crescent Springs, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2026; 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.