Allyson Levon Stuckless, MMFT, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

83762 Issued in TX

Practice address

1835 E Southlake Blvd Ste 100
Southlake, TX 76092-7068

Phone

(817) 769-7687

NPI assigned

May 21, 2020

Last updated

Aug 22, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Steady Place Therapy PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Southlake, TX
  • NPI 1235093394
  NPD Authorized official
• Unstuck Space PLLC

  dba Ellie Mental Health

  • Mental Health Counselor
  • Southlake, TX
  • NPI 1164160099
  Authorized official Same address or phone
• First Light Counseling, LLC

  • Professional Counselor
  • Southlake, TX
  • NPI 1629857289
  NPD (past)
• SW FW Mental Health , PLLC

  dba Ellie Mental Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fort Worth, TX
  • NPI 1427769348
  NPD (past)

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

{
    "created_epoch": "1590019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1184247314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9117 SAGEWOOD DR APT 3108",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761772298",
            "telephone_number": "817-015-4622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 E SOUTHLAKE BLVD STE 100",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760927068",
            "telephone_number": "817-769-7687"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2670 Firewheel Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Flower Mound",
            "state": "TX",
            "postal_code": "750287596",
            "country_code": "US",
            "telephone_number": "817-663-7633",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6628 Bryant Irvin Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Ft Worth",
            "state": "TX",
            "postal_code": "761324221",
            "country_code": "US",
            "telephone_number": "817-886-4370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STUCKLESS",
        "first_name": "ALLYSON",
        "middle_name": "LEVON",
        "credential": "MMFT, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-21",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "83762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Stringham
• Madison Stripling, MS, LPC
• Joyce L Stroud, D.O.
• Sara Stuart, LMSW
• Tauriah Tyshae Lynn Stubblefield, LCSW
• Ashley Nichole Sturgis, MS, CCC-SLP
• Taylor Sullivan, SLP
• Sumeesh Dhawan Mdpa
• Sumi Physician Services PLLC
• Summy Home Health Care Agency LLC

• Professional Counselor in Southlake, TX
• Providers in Southlake, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.