Active NPI
John Stiteler, MA, LCCT
- Pastoral Counselor
- Orlando, FL
National Provider Identifier
1366796260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pastoral Counselor
- License
- LCCT 0330020611
- Practice address
- 5401 S Kirkman Rd
#222
Orlando, FL 32819-7940 - Phone
- (321) 332-6984
- NPI assigned
- Oct 31, 2012
- Last updated
- Oct 31, 2012
- 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 |
|---|---|---|---|---|
| Pastoral Counselor | 101YP1600X | LCCT 0330020611 | FL | Primary |
| Nutrition Education Nutritionist | 133NN1002X | NU |
Addresses
Primary practice location
5401 S Kirkman Rd
#222
Orlando, FL 32819-7940
Mailing address
1513 S Kirkman Rd
#3118
Orlando, FL 32811-2631
Phone (321) 332-6984
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCCT 0330020611 | FL | MD | Pastoral Counselor |
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.
-
- Mental Health Counselor
- Orlando, FL
- NPI 1306399332
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351641600000",
"number": "1366796260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1513 S KIRKMAN RD",
"address_2": "#3118",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328112631",
"telephone_number": "321-332-6984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5401 S KIRKMAN RD",
"address_2": "#222",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328197940",
"telephone_number": "321-332-6984"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STITELER",
"first_name": "JOHN",
"credential": "MA, LCCT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-10-31",
"last_updated": "2012-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": "FL",
"license": "LCCT 0330020611",
"primary": true
},
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.