Jasmyn Vallecillo Stengel

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

5801 Washington Ave Ste 110
Mount Pleasant, WI 53406-4057

Phone

(262) 884-9734

NPI assigned

Jan 30, 2024

Last updated

Jan 30, 2024By the provider in NPPES

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

Other names 1

• Jasmyn Iona Smith Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Portis Marriage and Children Counseling Clinic, LLC

  • Professional Counselor
  • Racine, WI
  • NPI 1609046788
  NPD

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

{
    "created_epoch": "1706572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1578325957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5801 WASHINGTON AVE STE 110",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534064057",
            "telephone_number": "262-884-9734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 WASHINGTON AVE STE 110",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534064057",
            "telephone_number": "262-884-9734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STENGEL",
        "first_name": "JASMYN",
        "middle_name": "VALLECILLO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-30",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JASMYN",
            "last_name": "SMITH",
            "middle_name": "IONA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tennille Stanfield, MS,LPC-IT,NCC
• Katelyn Jo Steen, OD
• Alexandra Steinberg, LAT
• Susan Marie Steinbrueck, PH.D.
• Gabrielle Rae Steiner
• Abigail Jean Brindusa Stewart, PA-C
• Jennifer Stewart, SLP
• Anne Stoltenberg, ACNP-BC
• Stacy Strickland
• Jamie L Stropes, LPN

• Marriage & Family Therapist in Mount Pleasant, WI
• Providers in Mount Pleasant, WI by specialty
• Marriage & Family Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; 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.