Active NPI
Jamie L Stabley, LPC
- Professional Counselor
- Mesa, AZ
National Provider Identifier
1346573003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC-10839
- Practice address
- 4115 E Valley Auto Dr
203
Mesa, AZ 85206-4606 - Phone
- (480) 507-7880
- Fax
- (480) 507-8013
- NPI assigned
- Sep 14, 2009
- Sex
- Female
- 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 | LPC-10839 | AZ | Primary |
Addresses
Primary practice location
4115 E Valley Auto Dr
203
Mesa, AZ 85206-4606
Mailing address
6456 E Holiday Dr
Mesa, AZ 85215-2926
Phone (480) 325-5015
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2550 W Union Hills Dr
Phoenix, AZ 85027-5163
Phone (323) 205-7088
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Specialty Group PA | Professional | Current | Accepting new patients |
| Mary Ann B. Thirakul, PLLC | Past | Accepting new patients |
Locations
2550 W Union Hills Dr
Phoenix, AZ 85027
Phone (602) 358-0224
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Psychologist
- Mesa, AZ
- NPI 1679719306
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1252886400000",
"number": "1346573003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6456 E HOLIDAY DR",
"city": "MESA",
"state": "AZ",
"postal_code": "852152926",
"telephone_number": "480-325-5015",
"fax_number": "480-832-0611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4115 E VALLEY AUTO DR",
"address_2": "203",
"city": "MESA",
"state": "AZ",
"postal_code": "852064606",
"telephone_number": "480-507-7880",
"fax_number": "480-507-8013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STABLEY",
"first_name": "JAMIE",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-14",
"last_updated": "2009-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "LPC-10839",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.