Glen Matthew Stamps Jr., LPC-MHSP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

3869 Issued in TN

Practice address

5583 Murray Ave Ste 207
Memphis, TN 38119

Phone

(901) 590-2193

NPI assigned

Apr 18, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1492473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531872000000",
    "number": "1396279220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5583 MURRAY AVE STE 207",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381190807",
            "telephone_number": "901-590-2193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5583 MURRAY AVE STE 207",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38119",
            "telephone_number": "901-590-2193"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "560 Colonial Rd",
            "address_2": "Suite #201",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381174019",
            "country_code": "US",
            "telephone_number": "901-310-3911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAMPS",
        "first_name": "GLEN",
        "middle_name": "MATTHEW",
        "name_suffix": "Jr.",
        "credential": "LPC-MHSP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-18",
        "last_updated": "2018-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TN",
            "license": "3869",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "3869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaylee Sarah Stahler, OTR/L
• Alison Michelle Stallings, MD
• Carrie Lynne Stallings, MD
• John Morris Stallings, MD
• Meredith Ann Stalnaker, DDS
• James K Stamps, M.D.
• Stephen Paul Stancil, M.D
• Tandrea Standback, PTA
• Zellner Jones Standback
• Alex Taylor Stanfill, CRNA

• Mental Health Counselor in Memphis, TN
• Providers in Memphis, TN by specialty
• Mental Health Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2018; 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.