Active NPI
Kortnie Stanovcak, LPCC
- Professional Counselor
- Akron, OH
National Provider Identifier
1659819910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E.1901442
- Practice address
- 725 E Market St
Akron, OH 44305-2421 - Phone
- (330) 434-4141
- Fax
- (330) 315-5230
- NPI assigned
- Feb 7, 2017
- Sex
- Female
- Sole proprietor
- No
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 | E.1901442 | OH | Primary |
Addresses
Primary practice location
725 E Market St
Akron, OH 44305-2421
Mailing address
725 E Market St
Akron, OH 44305-2421
Phone (330) 434-4141
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0263937 | Medicaid | OH |
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 |
|---|---|---|---|
| E.1901442 | OH | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594684800000",
"number": "1659819910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 E MARKET ST",
"city": "AKRON",
"state": "OH",
"postal_code": "443052421",
"telephone_number": "330-434-4141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 E MARKET ST",
"city": "AKRON",
"state": "OH",
"postal_code": "443052421",
"telephone_number": "330-434-4141",
"fax_number": "330-315-5230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANOVCAK",
"first_name": "KORTNIE",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-07",
"last_updated": "2020-07-14",
"certification_date": "2020-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E.1901442",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0263937",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Akron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.