Active NPI
Amy Stafford, LPC
- Professional Counselor
- Gatesville, TX
National Provider Identifier
1629696539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 76835
- Practice address
- 406 Straws Mill Rd
Gatesville, TX 76528-2832 - Phone
- (254) 206-0292
- NPI assigned
- Jul 7, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 76835 | TX | Primary |
Addresses
Primary practice location
406 Straws Mill Rd
Gatesville, TX 76528-2832
Mailing address
406 Straws Mill Rd
Gatesville, TX 76528-2832
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 76835 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594080000000",
"number": "1629696539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "406 STRAWS MILL RD",
"city": "GATESVILLE",
"state": "TX",
"postal_code": "765282832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "406 STRAWS MILL RD",
"city": "GATESVILLE",
"state": "TX",
"postal_code": "765282832",
"telephone_number": "254-206-0292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAFFORD",
"first_name": "AMY",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-07",
"last_updated": "2020-07-07",
"certification_date": "2020-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "76835",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gatesville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.