W Davida Stafford, AAC, MHP

Primary specialty

CounselorTaxonomy code 101Y00000X

License

101Y00000X-COUNSELOR Issued in WA

Practice address

209 W Main St
Centralia, WA 98531-4245

Phone

(509) 899-5512

NPI assigned

Apr 21, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1555804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555804800000",
    "number": "1114580594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 W MAIN ST",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985314245",
            "telephone_number": "509-899-5512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 W MAIN ST",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985314245",
            "telephone_number": "509-899-5512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAFFORD",
        "first_name": "W",
        "middle_name": "DAVIDA",
        "credential": "AAC, MHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-21",
        "last_updated": "2019-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "CG60328778",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "101Y00000X-COUNSELOR",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Spain
• Sarah C Spencer, ARNP
• Jill Delores Spyhalski, AAC
• Bryanna Jo Squibb, HM60795744
• Halicz B Srednicki
• Parker Staley, CAAR
• Ryan M Staley, R-AAC, CPC
• Theresa Marie Stanfield
• Johnathan Gregory Stanhope
• Randall Allan Stanhope

• Counselor in Centralia, WA
• Providers in Centralia, WA by specialty
• Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2019; 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.