Jennifer Paige Stanley, ALC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C3967A Issued in AL

Practice address

100 Westside Dr
Dothan, AL 36303-1908

Phone

(334) 793-2237

NPI assigned

Dec 10, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Milestones Psychology and Therapy Inc

  • Professional Counselor
  • Dothan, AL
  • NPI 1730431164
  NPD
• Chrysalis, a Home for Girls, Inc.

  dba Chrysalis

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Newton, AL
  • NPI 1891808036
  NPD (past)

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

{
    "created_epoch": "1639094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639094400000",
    "number": "1659030260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 DERBYSHIRE DR",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363031933",
            "telephone_number": "334-648-9689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WESTSIDE DR",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363031908",
            "telephone_number": "334-793-2237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "JENNIFER",
        "middle_name": "PAIGE",
        "credential": "ALC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-10",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "C3967A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Traci M Stafford, CRNP
• James R Staheli, DO
• Laquincia Lynn Stanford
• Trinette Stanford, CRNP
• Ethan Stanley, CRNA
• Michael Richard Stanley Jr., CRNA
• Phillip Tyler Stanley, C.R.N.A.
• Leah Staples
• Erica Lynne Starling Loporto, AGACNP
• Matthew D Starling

• Mental Health Counselor in Dothan, AL
• Providers in Dothan, AL by specialty
• Mental Health Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2021; 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.