Individual provider Active NPI

Joseph M Stapp, MA, LPC, NCC

  • Professional Counselor
  • Dawsonville, GA
National Provider Identifier
1114230372
Registry record updated Jul 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-004711 Issued in GA
Practice address
76 Sandcastle CT
Dawsonville, GA 30534-7075
Phone
(706) 974-3899
NPI assigned
Jul 16, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC-004711 GA
Professional Counselor 101YP2500X LPC-004711 GA Primary

Addresses

Primary practice location

76 Sandcastle CT
Dawsonville, GA 30534-7075

Mailing address

PO Box 2017
Dawsonville, GA 30534-0036
Phone (706) 974-3899

Other identifiers 1

IdentifierTypeStateIssuer
11968290OtherGACAQH PIN

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
LPC-004711GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Counseling, LLC Professional 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1279238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279238400000",
    "number": "1114230372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2017",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305340036",
            "telephone_number": "706-974-3899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 SANDCASTLE CT",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305347075",
            "telephone_number": "706-974-3899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAPP",
        "first_name": "JOSEPH",
        "middle_name": "M",
        "credential": "MA, LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-16",
        "last_updated": "2010-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC-004711",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC-004711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH PIN",
            "identifier": "11968290",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dawsonville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2010; 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.