Individual provider Active NPI

Jessica Michelle King-Stamps, LPC

  • Mental Health Counselor
  • Yanceyville, NC
National Provider Identifier
1285918607
Registry record updated Jan 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
8695 Issued in NC
Practice address
1076 NC Highway 86 N
Yanceyville, NC 27379-8645
Phone
(336) 694-1487
Fax
(336) 694-1681
NPI assigned
Oct 4, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X A8695 NC
Mental Health Counselor 101YM0800X 8695 NC Primary

Addresses

Primary practice location

1076 NC Highway 86 N
Yanceyville, NC 27379-8645

Mailing address

177 Slade CT
Providence, NC 27315-9326
Phone (336) 344-0268

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

LicenseStateTypeSpecialty
A8695NCMDCounselor
8695NCMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1317686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515628800000",
    "number": "1285918607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 SLADE CT",
            "city": "PROVIDENCE",
            "state": "NC",
            "postal_code": "273159326",
            "telephone_number": "336-344-0268",
            "fax_number": "336-694-1681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1076 NC HIGHWAY 86 N",
            "city": "YANCEYVILLE",
            "state": "NC",
            "postal_code": "273798645",
            "telephone_number": "336-694-1487",
            "fax_number": "336-694-1681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING-STAMPS",
        "first_name": "JESSICA",
        "middle_name": "MICHELLE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-04",
        "last_updated": "2018-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "A8695",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "8695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yanceyville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2018; 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.