Organization Active NPI

Jodi Stauffer Therapy PLLC

  • Clinical Social Worker
  • San Marcos, TX
National Provider Identifier
1316690704
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
JODI STAUFFER THERAPY PLLC
Practice address
102 Wonder World Dr Ste 304-147
San Marcos, TX 78666-6076
Phone
(830) 431-6161
NPI assigned
Jan 27, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

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

Authorized official

Name
Jodie Stauffer
Title
Owner
Phone
(830) 431-6161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

102 Wonder World Dr Ste 304-147
San Marcos, TX 78666-6076

Mailing address

102 Wonder World Dr Ste 304-147
San Marcos, TX 78666-6076

National Provider Directory

National Provider Directory

Locations

102 Wonder World Dr
Ste 304147
San Marcos, TX 78666
Phone (830) 431-6161

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1643241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643241600000",
    "number": "1316690704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WONDER WORLD DR STE 304-147",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786666076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 WONDER WORLD DR STE 304-147",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786666076",
            "telephone_number": "830-431-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JODI STAUFFER THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-27",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A",
        "authorized_official_last_name": "STAUFFER",
        "authorized_official_first_name": "JODIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "830-431-6161"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; 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.