Individual provider Active NPI

Kaylee Stiles, LAC

  • Mental Health Counselor
  • Washington, NJ
National Provider Identifier
1154025526
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
37AC00820500 Issued in NJ
Practice address
492 Route 57 W
Washington, NJ 07882-4411
Phone
(908) 689-1000
NPI assigned
Mar 29, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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 37AC00820500 NJ Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 2023-000111 NJ

Addresses

Primary practice location

492 Route 57 W
Washington, NJ 07882-4411

Mailing address

73 Alvin Sloan Ave
Washington, NJ 07882-4171
Phone (908) 635-6282

Other practice location 1

370 Memorial Pkwy
Phillipsburg, NJ 08865-1580
Phone (908) 454-4470

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

LicenseStateTypeSpecialty
2023-000111NJMDAddiction (Substance Use Disorder) Counselor
37AC00820500NJMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1680048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1154025526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 ALVIN SLOAN AVE",
            "city": "WASHINGTON",
            "state": "NJ",
            "postal_code": "078824171",
            "telephone_number": "908-635-6282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "492 ROUTE 57 W",
            "city": "WASHINGTON",
            "state": "NJ",
            "postal_code": "078824411",
            "telephone_number": "908-689-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "370 Memorial Pkwy",
            "address_purpose": "LOCATION",
            "city": "Phillipsburg",
            "state": "NJ",
            "postal_code": "088651580",
            "country_code": "US",
            "telephone_number": "908-454-4470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STILES",
        "first_name": "KAYLEE",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-29",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00820500",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "2023-000111",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.