Timothy D Stanley, MSLPE

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

961E Issued in AR

Practice address

1109 College Dr
Texarkana, TX 75503-3527

Phone

(903) 243-9552

NPI assigned

May 22, 2006

Last updated

Feb 7, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Pediatric Counseling of Mansfield, PLLC

  dba Pediatric and Family Counseling of Texarkana

  • Professional Counselor
  • Mansfield, TX
  • NPI 1992207054
  Medicare reassignment NPD

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1538113402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 COLLEGE DR",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755033527",
            "telephone_number": "903-243-9552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 COLLEGE DR",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755033527",
            "telephone_number": "903-243-9552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "TIMOTHY",
        "middle_name": "D",
        "credential": "MSLPE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "14579",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "961E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryan Spruill, PA
• Lee R. Staats, LPC-I
• Carey Robert Stanley, OT
• Rachel Leah Stanley, FNP-C
• Susan Williams Stanley, MS, CCC, SLP
• Brittany Stanton
• Angela Staples, LMT
• Sonya Prince Stark, FNP-C
• Callie Elizabeth Starks, M.S., LPC-I
• Stateserv Medical of Texas, LLC

• Mental Health Counselor in Texarkana, TX
• Providers in Texarkana, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.