Individual provider Active NPI

Adele Stuckey, MA, LPC, ATR-BC

  • Professional Counselor
  • Alexandria, VA
National Provider Identifier
1427409655
Registry record updated Nov 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701007203 Issued in VA
Practice address
1008 Pendleton St Ste 1a
Alexandria, VA 22314-2182
Phone
(703) 596-9557
NPI assigned
Jun 29, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X
Art Therapist 221700000X
Professional Counselor 101YP2500X 0701007203 VA Primary

Addresses

Primary practice location

1008 Pendleton St Ste 1a
Alexandria, VA 22314-2182

Mailing address

1008 Pendleton St Ste 1a
Alexandria, VA 22314-2182
Phone (703) 596-9557

Other practice location 1

108A S Columbus St
Alexandria, VA 22314-3051
Phone (703) 596-9557

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

LicenseStateTypeSpecialty
0701007203VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Alexandria Art Therapy, LLC Professional CurrentSince Nov 8, 2020 Accepting new patients

Locations

1008 Pendleton St
Ste 1A
Alexandria, VA 22314
Phone (703) 596-9557

129 S Royal St
Ste 6
Alexandria, VA 22314
Phone (410) 440-1695

108A S Columbus St
Alexandria, VA 22314
Phone (703) 596-9557

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1467158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1427409655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 PENDLETON ST STE 1A",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223142182",
            "telephone_number": "703-596-9557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 PENDLETON ST STE 1A",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223142182",
            "telephone_number": "703-596-9557"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "108A S Columbus St",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223143051",
            "country_code": "US",
            "telephone_number": "703-596-9557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STUCKEY",
        "first_name": "ADELE",
        "credential": "MA, LPC, ATR-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-29",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701007203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; 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.