Active NPI
Lea M Stanton Gregor, LCPC
- Professional Counselor
- Petersburg, AK
National Provider Identifier
1194941435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 369
- Practice address
- 15 12TH Street
Suite 212/212a
Petersburg, AK 99833 - Phone
- (907) 650-7292
- NPI assigned
- Apr 17, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1218 | MT | |
| Professional Counselor | 101YP2500X | 369 | AK | Primary |
Addresses
Primary practice location
15 12TH Street
Suite 212/212a
Petersburg, AK 99833
Mailing address
PO Box 2155
True North Counseling & Consultation, LLC
Petersburg, AK 99833-2155
Phone (907) 650-7292
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 742860 | Other | MT | BLUE CROSS PROVIDER |
Other names 1
- Lea M Stanton
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 |
|---|---|---|---|
| 1218 | MT | MD | Professional Counselor |
| 369 | AK | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313712000000",
"number": "1194941435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2155",
"address_2": "TRUE NORTH COUNSELING & CONSULTATION, LLC",
"city": "PETERSBURG",
"state": "AK",
"postal_code": "998332155",
"telephone_number": "907-650-7292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 12TH STREET",
"address_2": "SUITE 212/212A",
"city": "PETERSBURG",
"state": "AK",
"postal_code": "99833",
"telephone_number": "907-650-7292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANTON GREGOR",
"first_name": "LEA",
"middle_name": "M",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-17",
"last_updated": "2011-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MT",
"license": "1218",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AK",
"license": "369",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS PROVIDER",
"identifier": "742860",
"state": "MT"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LEA",
"last_name": "STANTON",
"middle_name": "M",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Petersburg, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.