Individual provider Active NPI

Jan Stone, M.A., L.P.C.C.

  • Professional Counselor
  • Albuquerque, NM
National Provider Identifier
1609980325
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0109281 Issued in NM
Practice address
7418 Gettysburg Rd NE
Albuquerque, NM 87109-5026
Phone
(505) 610-9214
NPI assigned
Aug 18, 2006
Last updated
Dec 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0109281 NM Primary

Addresses

Primary practice location

7418 Gettysburg Rd NE
Albuquerque, NM 87109-5026

Mailing address

PO Box 94976
Albuquerque, NM 87199-4976
Phone (505) 610-9214

Other names 1

  • Jan Stone Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 22, 2024 through Jan 22, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
0109281NMMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1609980325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94976",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871994976",
            "telephone_number": "505-610-9214",
            "fax_number": "505-332-2014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7418 GETTYSBURG RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871095026",
            "telephone_number": "505-610-9214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONE",
        "first_name": "JAN",
        "credential": "M.A., L.P.C.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "0109281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAN",
            "last_name": "STONE",
            "credential": "M.A., L.P.C.C..",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.