Individual provider Active NPI

Michael V Stanfield, D.MIN., L.M.F.T.

  • Marriage & Family Therapist
  • Knoxville, TN
National Provider Identifier
1306143508
Registry record updated Feb 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMT0000000338 Issued in TN
Practice address
3700 Keowee Ave
Knoxville, TN 37919-7711
Phone
(865) 522-9804
Fax
(865) 523-9446
NPI assigned
Feb 24, 2011
Last updated
Feb 24, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMT0000000338 TN Primary

Addresses

Primary practice location

3700 Keowee Ave
Knoxville, TN 37919-7711

Mailing address

3700 Keowee Ave
Knoxville, TN 37919-7711
Phone (865) 522-9804

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241205003244 AL Practitioner - Marriage and Family Therapist 0941736532 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vine Pastoral Counseling Center, IncGroup PAC ID 2769920461, 8 clinicians

Practice addresses (Care Compare)

608 Church St NW
Huntsville, AL 35801-5526
Phone (256) 270-7399

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMT0000000338TNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Vine Pastoral Counseling Center, Inc. Marriage & Family Therapist CurrentSince Sep 1, 2024 Accepting new patients

Locations

333 Franklin St SE
Ste 300
Huntsville, AL 35801
Phone (256) 270-7399

608 Church St NW
Huntsville, AL 35801
Phone (256) 270-7399

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1298505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298505600000",
    "number": "1306143508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 KEOWEE AVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379197711",
            "telephone_number": "865-522-9804",
            "fax_number": "865-523-9446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 KEOWEE AVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379197711",
            "telephone_number": "865-522-9804",
            "fax_number": "865-523-9446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANFIELD",
        "first_name": "MICHAEL",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "D.MIN., L.M.F.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-24",
        "last_updated": "2011-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TN",
            "license": "LMT0000000338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.