Active NPI
Kevin Stansbury Jr.
- Mental Health Counselor
- Trenton, NJ
National Provider Identifier
1235508474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 15 Cummings Place
Trenton, NJ 08611 - Phone
- (609) 643-1657
- NPI assigned
- Sep 17, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
15 Cummings Place
Trenton, NJ 08611
Mailing address
15 Cummings PL
Trenton, NJ 08611-1333
Phone (609) 643-1657
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442448000000",
"number": "1235508474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 CUMMINGS PL",
"city": "TRENTON",
"state": "NJ",
"postal_code": "086111333",
"telephone_number": "609-643-1657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 CUMMINGS PLACE",
"city": "TRENTON",
"state": "NJ",
"postal_code": "08611",
"telephone_number": "609-643-1657"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANSBURY",
"first_name": "KEVIN",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-09-17",
"last_updated": "2015-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Trenton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.