Active NPI
Tara Marie Stadel
- Addiction (Substance Use Disorder) Counselor
- Orange, CA
National Provider Identifier
1134712169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 2113227
- Practice address
- 265 S Anita Dr
Orange, CA 92868-3355 - Phone
- (657) 933-4101
- NPI assigned
- Feb 20, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 2113227 | CA | Primary |
Addresses
Primary practice location
265 S Anita Dr
Orange, CA 92868-3355
Mailing address
24016 Elrond LN
Lake Forest, CA 92630-3649
Phone (949) 534-4711
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 |
|---|---|---|---|
| 2113227 | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642550400000",
"number": "1134712169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24016 ELROND LN",
"city": "LAKE FOREST",
"state": "CA",
"postal_code": "926303649",
"telephone_number": "949-534-4711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "265 S ANITA DR",
"city": "ORANGE",
"state": "CA",
"postal_code": "928683355",
"telephone_number": "657-933-4101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STADEL",
"first_name": "TARA",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-20",
"last_updated": "2022-01-19",
"certification_date": "2022-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "2113227",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orange, CA
- St.Jude Heritage Medical Group
- Sharon Grace St.Pierre, LCSW
- Stephen Simon Sta Ana
- Stacia Narasky Licensed Clinical Social Worker, Therapy With Stacia (Therapy with Stacia)
- Michael Stack
- James Darren Staggs, CADC 11
- Anne Stahl-Hughitt, NP
- Dennis Aaron Dantes Staines
- Staircase International Languages, Inc
- Michael J Stamos, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.