Isa Stahl

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CCMH0215761 Issued in NY

Practice address

780 S Walnut St BLDG 5
Las Cruces, NM 88001-1425

Phone

(575) 636-9344

NPI assigned

Mar 31, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1617148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1396323200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5382 SUPERSTITION DR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880112537",
            "telephone_number": "575-636-9344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 S WALNUT ST BLDG 5",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880011425",
            "telephone_number": "575-636-9344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAHL",
        "first_name": "ISA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-31",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "CCMH0215761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• SSRR RX LLC
• Kaitlyn Stack
• Robert Michael Stack, MD
• Ellen Ashley Stafford, DNP
• Jeanne Gail Stagner, CNM, FNP-C, MSN
• Delilah Ancheta Stampp, M.D.
• Stephen Paul Stampp, M.D.
• Andrew Stanfill
• John Layton Stanley
• Danielle Starks

• All providers in Las Cruces, NM
• Mental Health Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; 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.