Active NPI
Stan E. Huff, ED.D.
- Marriage & Family Therapist
- Bloomington, IL
National Provider Identifier
1346558954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 166 000482
- Practice address
- 3 Turtleback CT
Bloomington, IL 61705-6301 - Phone
- (309) 242-4833
- NPI assigned
- Sep 16, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 29363 | IL | |
| Marriage & Family Therapist | 106H00000X | 166 000482 | IL | Primary |
Addresses
Primary practice location
3 Turtleback CT
Bloomington, IL 61705-6301
Mailing address
3 Turtleback CT
Bloomington, IL 61705-6301
Phone (309) 242-4833
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 |
|---|---|---|---|
| 29363 | IL | MD | Addiction (Substance Use Disorder) Counselor |
| 166 000482 | IL | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284595200000",
"number": "1346558954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 TURTLEBACK CT",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617056301",
"telephone_number": "309-242-4833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 TURTLEBACK CT",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617056301",
"telephone_number": "309-242-4833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUFF",
"first_name": "STAN",
"middle_name": "E.",
"credential": "ED.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-09-16",
"last_updated": "2010-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "IL",
"license": "29363",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "IL",
"license": "166 000482",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomington, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.