Active NPI
Kristi Stackens
- Mental Health Counselor
- Savannah, TN
National Provider Identifier
1386920163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 985 Florence Rd
Savannah, TN 38372-3484 - Phone
- (731) 727-8012
- Fax
- (731) 727-8013
- NPI assigned
- Oct 25, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Mental Health Counselor | 101YM0800X | TN | Primary |
Addresses
Primary practice location
985 Florence Rd
Savannah, TN 38372-3484
Mailing address
985 Florence Rd
Savannah, TN 38372-3484
Phone (731) 727-8012
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321574400000",
"number": "1386920163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "985 FLORENCE RD",
"city": "SAVANNAH",
"state": "TN",
"postal_code": "383723484",
"telephone_number": "731-727-8012",
"fax_number": "731-727-8013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "985 FLORENCE RD",
"city": "SAVANNAH",
"state": "TN",
"postal_code": "383723484",
"telephone_number": "731-727-8012",
"fax_number": "731-727-8013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STACKENS",
"first_name": "KRISTI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-25",
"last_updated": "2011-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TN",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Savannah, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.