Individual provider Active NPI

Joan Standora, PH.D., LADC, CADC

  • Addiction (Substance Use Disorder) Counselor
  • Milford, PA
National Provider Identifier
1497100556
Registry record updated Apr 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
000359 Issued in CT
Practice address
224 Broad St
Suite 206
Milford, PA 18337-1366
Phone
(570) 775-1991
Fax
(718) 368-6544
NPI assigned
Apr 26, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 000359 CT Primary

Addresses

Primary practice location

224 Broad St
Suite 206
Milford, PA 18337-1366

Mailing address

224 Broad St
Suite 206
Milford, PA 18337-1366
Phone (570) 775-1991

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
000359CTMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1461628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461628800000",
    "number": "1497100556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 BROAD ST",
            "address_2": "SUITE 206",
            "city": "MILFORD",
            "state": "PA",
            "postal_code": "183371366",
            "telephone_number": "570-775-1991",
            "fax_number": "718-368-6544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 BROAD ST",
            "address_2": "SUITE 206",
            "city": "MILFORD",
            "state": "PA",
            "postal_code": "183371366",
            "telephone_number": "570-775-1991",
            "fax_number": "718-368-6544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANDORA",
        "first_name": "JOAN",
        "name_prefix": "Dr.",
        "credential": "PH.D., LADC, CADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-26",
        "last_updated": "2016-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CT",
            "license": "000359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2016; 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.