Stage of Life Counseling Inc

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

STAGE OF LIFE COUNSELING INC

Practice address

23133 Hawthorne Blvd Ste 207
Torrance, CA 90505-3729

Phone

(310) 502-0164

NPI assigned

May 8, 2018

Organization subpart

No

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

Authorized official

Name

Diane Dahlen, LPCCNPI 1710378187

Title

President-LPCC

Phone

(310) 502-0164

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Diane Dahlen, LPCC

  • Professional Counselor
  • Torrance, CA
  • NPI 1710378187
  NPD Authorized official

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

{
    "created_epoch": "1525737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536796800000",
    "number": "1174012827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2390 CRENSHAW BLVD # 460",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905013300",
            "telephone_number": "310-847-9084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23133 HAWTHORNE BLVD STE 207",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905053729",
            "telephone_number": "310-502-0164"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2008 W Carson St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905013288",
            "country_code": "US",
            "telephone_number": "424-271-5799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STAGE OF LIFE COUNSELING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-08",
        "last_updated": "2018-09-13",
        "status": "A",
        "authorized_official_last_name": "DAHLEN",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "PRESIDENT-LPCC",
        "authorized_official_telephone_number": "310-502-0164",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF BEHAVIORAL SCIENCES",
            "identifier": "LPCC4827",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jarred Kyle M Sta Ana
• Valentino Stabile, RCP
• Claire Stacey
• Briana Stacy
• Shannon M Stacy, M.D.
• Jennifer B. Stahl, D.P.T.
• Brittnae Amani Stallworth, PSYD.
• Melissa Stamant
• Emily Stanczak
• William Patrick Stanford, MD, PHD

• Professional Counselor in Torrance, CA
• Providers in Torrance, CA by specialty
• Professional Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2018; 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.