Individual provider Active NPI

Jaamikah Aissa Stoglin

  • Addiction (Substance Use Disorder) Counselor
  • Waco, TX
National Provider Identifier
1144133505
Registry record updated Sep 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
78991 Issued in TX
Practice address
2210 Washington Ave
Waco, TX 76701-1019
Phone
(254) 755-6411
NPI assigned
Sep 25, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 78991 TX Primary

Addresses

Primary practice location

2210 Washington Ave
Waco, TX 76701-1019

Mailing address

1404 Dugger Cir Apt a
Killeen, TX 76543-7154

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790294400000",
    "number": "1144133505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 DUGGER CIR APT A",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765437154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 WASHINGTON AVE",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767011019",
            "telephone_number": "254-755-6411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOGLIN",
        "first_name": "JAAMIKAH",
        "middle_name": "AISSA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-25",
        "last_updated": "2026-09-25",
        "certification_date": "2026-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "78991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.