Active NPI
Eustace John Stapler III, LPC, NCC
- Professional Counselor
- Herndon, VA
National Provider Identifier
1275877029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701005330
- Practice address
- 487 Carlisle Dr
Herndon, VA 20170-4898 - Phone
- (703) 435-7251
- Fax
- (703) 435-7694
- NPI assigned
- Nov 18, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701005330 | VA | Primary |
Addresses
Primary practice location
487 Carlisle Dr
Herndon, VA 20170-4898
Mailing address
487 Carlisle Dr
Herndon, VA 20170-4898
Phone (703) 435-7251
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| -701005330 | Other | VA | BOARD OF COUNSELING |
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 |
|---|---|---|---|
| 0701005330 | VA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353196800000",
"number": "1275877029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "487 CARLISLE DR",
"city": "HERNDON",
"state": "VA",
"postal_code": "201704898",
"telephone_number": "703-435-7251",
"fax_number": "703-435-7694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "487 CARLISLE DR",
"city": "HERNDON",
"state": "VA",
"postal_code": "201704898",
"telephone_number": "703-435-7251",
"fax_number": "703-435-7694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAPLER",
"first_name": "EUSTACE",
"middle_name": "JOHN",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "LPC, NCC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-11-18",
"last_updated": "2012-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701005330",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF COUNSELING",
"identifier": "-701005330",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Herndon, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.