Individual provider Active NPI

Thomas Jay Stanfield, MA, LMHC

  • Mental Health Counselor
  • Cedar Falls, IA
National Provider Identifier
1396949814
Registry record updated Jan 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
101295 Issued in IA
Practice address
2802 Orchard Dr
Cedar Falls, IA 50613-5898
Phone
(319) 268-9700
Fax
(319) 268-1934
NPI assigned
Jun 11, 2007
Last updated
Jan 7, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 101295 IA Primary

Addresses

Primary practice location

2802 Orchard Dr
Cedar Falls, IA 50613-5898

Mailing address

2802 Orchard Dr
Cedar Falls, IA 50613-5898
Phone (319) 268-9700

Other practice location 1

2802 Orchard Dr
Cedar Falls, IA 50613-5898
Phone (319) 268-9700 ext. 89713

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231219001417 IA Practitioner - Mental Health Counselor 5597154708 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Covenant Medical Center IncGroup PAC ID 0244148732, 234 clinicians

Practice addresses (Care Compare)

226 Bluebell Rd
Cedar Falls, IA 50613-6328
Phone (319) 575-5800

2802 Orchard Dr
Cedar Falls, IA 50613-5898
Phone (319) 268-9700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Medical Center Inc CurrentSince Jan 1, 2024 Accepting new patients
Covenant Medical Center, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Safe Harbor Counseling Center Professional Past Accepting new patients
Praise Assemby Past Accepting new patients
Psychiatric Associates of Northeast Iowa PC PastSince Oct 17, 2021 Accepting new patients

Locations

226 Bluebell Rd
Cedar Falls, IA 50613
Phone (319) 575-5800

3421 W 9th St
Waterloo, IA 50702
Phone (319) 272-7050

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641513600000",
    "number": "1396949814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2802 ORCHARD DR",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506135898",
            "telephone_number": "319-268-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2802 ORCHARD DR",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506135898",
            "telephone_number": "319-268-9700",
            "fax_number": "319-268-1934"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2802 Orchard Dr",
            "address_purpose": "LOCATION",
            "city": "Cedar Falls",
            "state": "IA",
            "postal_code": "506135898",
            "country_code": "US",
            "telephone_number": "319-268-9700 x89713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STANFIELD",
        "first_name": "THOMAS",
        "middle_name": "JAY",
        "name_prefix": "Mr.",
        "credential": "MA, LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-11",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "101295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Falls, IA

Sources for this page

Verify at the official NPI Registry.