Elizabeth M Stallings, CSUDC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

10576239-6005 Issued in UT

Practice address

449 E 2100 S
Salt Lake City, UT 84115-2237

Phone

(801) 596-2111

NPI assigned

Mar 5, 2019

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

Opted out of Medicare

Yes, effective Oct 21, 2025 through Oct 21, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1551744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551744000000",
    "number": "1508324989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4106 S CUMBERLAND RD",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841242714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "449 E 2100 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841152237",
            "telephone_number": "801-596-2111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4106 S Cumberland Rd",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841242714",
            "country_code": "US",
            "telephone_number": "801-597-7448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STALLINGS",
        "first_name": "ELIZABETH",
        "middle_name": "M",
        "credential": "CSUDC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-05",
        "last_updated": "2019-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "UT",
            "license": "10576239-6005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larry Victor Staker, MD
• Marlee Laree Staker
• Quort Rawson Staker, BT
• Jadrienne Stalder
• Katharine Staley
• Grace Stallings
• Sarah Sherri Stalpes
• Katherine Stam, PT, DPT
• Ana Vitoria Stamoglou Soares
• Jennifer T. Stamp, MD

• Addiction (Substance Use Disorder) Counselor in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Addiction (Substance Use Disorder) Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.