NPIMap

Organization Active NPI

Masterlife With Stacey Coaching & Consulting LLC

  • Professional Counselor
  • Owings Mills, MD
National Provider Identifier
1619705084
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
MASTERLIFE WITH STACEY COACHING & CONSULTING LLC
Practice address
4302 Vintage Ivy LN
Owings Mills, MD 21117-6711
Phone
(443) 712-7114
NPI assigned
Jul 25, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Authorized official

Name
Stacey B Jaundoo, LCPCNPI 1740468461
Title
Owner
Phone
(443) 712-7114

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

4302 Vintage Ivy LN
Owings Mills, MD 21117-6711

Mailing address

4302 Vintage Ivy LN
Owings Mills, MD 21117-6711
Phone (980) 226-7522

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1721865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721865600000",
    "number": "1619705084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4302 VINTAGE IVY LN",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211176711",
            "telephone_number": "980-226-7522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4302 VINTAGE IVY LN",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211176711",
            "telephone_number": "443-712-7114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASTERLIFE WITH STACEY COACHING & CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-25",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A",
        "authorized_official_last_name": "JAUNDOO",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-712-7114",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.