Donna Stutts

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

12665 Issued in TX

Practice address

124 W Pioneer Pkwy Ste 120
Arlington, TX 76010-6146

Phone

(817) 795-8278

Fax

(817) 795-8279

NPI assigned

Dec 11, 2019

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• North Texas Addiction Counseling & Education, Inc.

  • Multi-Specialty Clinic/Center
  • Arlington, TX
  • NPI 1285801589
  NPD (past)

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

{
    "created_epoch": "1576022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576022400000",
    "number": "1215575121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 W PIONEER PKWY STE 120",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760106146",
            "telephone_number": "817-795-8278",
            "fax_number": "817-795-8279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 W PIONEER PKWY STE 120",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760106146",
            "telephone_number": "817-795-8278",
            "fax_number": "817-795-8279"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1506 Mineral Wells Hwy",
            "address_purpose": "LOCATION",
            "city": "Weatherford",
            "state": "TX",
            "postal_code": "760869220",
            "country_code": "US",
            "telephone_number": "817-757-7555",
            "fax_number": "817-757-7577",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3539 NW Jim Wright Fwy",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761063201",
            "country_code": "US",
            "telephone_number": "682-224-1441",
            "fax_number": "682-224-6374",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STUTTS",
        "first_name": "DONNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-11",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "12665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCDC LICENSE",
            "identifier": "12665",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "kareo",
            "affiliation": "N",
            "address_1": "124 W Pioneer Pkwy Ste 120",
            "city": "Arlington",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760106146",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hunter Ross Stuart II, DDS
• Susanne Joy Stuart, N.D.
• Studio 4-1-1 Counseling & Consulting, PLLC
• Alyssa Stuppy
• Marilyn Sturdivant, LCSW
• Allen D Su, MD
• Tony H Su, MD
• Subei Medical PLLC
• Iyad Subei, MD
• Sharetta Kay Sublett, PROVIDER

• Addiction (Substance Use Disorder) Counselor in Arlington, TX
• Providers in Arlington, TX by specialty
• Addiction (Substance Use Disorder) Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2019; 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.