Active NPI
Jamie Michelle Stumbo, LMFT
- Marriage & Family Therapist
- Crescent Springs, KY
National Provider Identifier
1114053485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 105551
- 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, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100297820 | Medicaid | KY |
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 |
|---|---|---|---|
| 105551 | KY | MD | Marriage & Family Therapist |
| KY-0623 | KY | MD | Marriage & 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.