Jennifer L. Stafford, MA, EDM, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

P83657 Issued in NY

Practice address

303 5TH Ave
New York, NY 10016-6601

Phone

(646) 504-7085

NPI assigned

May 12, 2012

Sex

Female

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

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1336780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1437418365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 8TH AVE # 1162",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100017800",
            "telephone_number": "646-504-7085",
            "fax_number": "646-370-4422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 5TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166601",
            "telephone_number": "646-504-7085"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "627 N Larchmont Blvd",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900041307",
            "country_code": "US",
            "telephone_number": "646-553-4067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAFFORD",
        "first_name": "JENNIFER",
        "middle_name": "L.",
        "credential": "MA, EDM, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-12",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LPCC10916",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P83657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johanna Stadtmauer
• Ryan Staebell, PT, DPT
• David A Staffenberg, MD
• Carly Staffin
• Brenda Stafford
• Kelly A Stafford, MOT, OTR/L, C/NDT
• Anfernee Steven Stage
• Madelaine Stager, L.AC.
• Stages Pediatrics P.C.
• Amy R Stagg, M.D.

• Mental Health Counselor in New York, NY
• Providers in New York, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; 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.