Active NPI
Jesse Stanley
- Marriage & Family Therapist
- The Villages, FL
National Provider Identifier
1144842964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 201251
- Practice address
- 1689 Scotch Pine Way
The Villages, FL 32162-2076 - Phone
- (860) 209-2647
- NPI assigned
- May 14, 2020
- Last updated
- Feb 2, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 201251 | TX | Primary |
Addresses
Primary practice location
1689 Scotch Pine Way
The Villages, FL 32162-2076
Mailing address
1689 Scotch Pine Way
The Villages, FL 32162-2076
Phone (860) 209-2647
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 |
|---|---|---|---|
| 201251 | TX | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643760000000",
"number": "1144842964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1689 SCOTCH PINE WAY",
"city": "THE VILLAGES",
"state": "FL",
"postal_code": "321622076",
"telephone_number": "860-209-2647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1689 SCOTCH PINE WAY",
"city": "THE VILLAGES",
"state": "FL",
"postal_code": "321622076",
"telephone_number": "860-209-2647"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANLEY",
"first_name": "JESSE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-05-14",
"last_updated": "2022-02-02",
"certification_date": "2022-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "201251",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in The Villages, FL
- Michelle R. Springstead, APRN
- Daniel Robert Spurrier, M.D.
- St . Lukes at the Villages, PA
- St Luke's at the Villages Brownwood PA
- St. Lukes Surgical at the Villages, Inc
- State Road 121 (Generations Senior Living)
- Kathleen Ann Steepy, M.D.
- Cynthia Lynne Stewart, PA-C
- Elijah Nahova Stewart, LMT, DC
- Patricia J Stopek, LMT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.