Alexandra Jade Stark

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0734008716 Issued in VA

Practice address

2008 Bremo Rd Ste 111
Richmond, VA 23226-2443

Phone

(804) 918-1115

NPI assigned

Mar 17, 2023

Sex

Female

Sole proprietor

No

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

Practice roles

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.

• Glacier Health and Development Center, Inc

  dba GHDC Counseling

  • Clinical Psychologist
  • Richmond, VA
  • NPI 1801421177

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1679011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679011200000",
    "number": "1447952296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 MCDONOUGH ST UNIT B",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232242143",
            "telephone_number": "571-480-0365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2008 BREMO RD STE 111",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232262443",
            "telephone_number": "804-918-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARK",
        "first_name": "ALEXANDRA",
        "middle_name": "JADE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-17",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0734008716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juliette Staples
• Sarah Elizabeth Staples, MSW
• Laura M Stapleton, MD
• Daniela Stapor
• Starcity Behavioral Health LLC
• Amanda Stark, MD
• Janet V Starkey, R.D.
• Martin T Starkman, M.D.
• Tamika Shavon Starks, TAMIKA SERVICE LLC
• Angela Renee Starkweather, PH.D., ARNP

• Mental Health Counselor in Richmond, VA
• Providers in Richmond, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; 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.