Jonathan Stube, M.ED, LPC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC008236 Issued in PA

Practice address

314 Moore BLDG
University Park, PA 16802-3103

Phone

(814) 865-2191

NPI assigned

Jun 22, 2015

Sex

Male

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

Credentials

Master of Education

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 and National Provider Directory roles.

• Centre Counseling and Wellness, LLC

  • Mental Health Counselor
  • State College, PA
  • NPI 1033650932
  NPD Authorized official
• The Pennsylvania State University

  dba Psychological Clinic

  • Public Health or Welfare Agency
  • University Park, PA
  • NPI 1386784593
  NPD (past)

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

{
    "created_epoch": "1434931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434931200000",
    "number": "1669854121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 MOORE BLDG",
            "city": "UNIVERSITY PARK",
            "state": "PA",
            "postal_code": "168023103",
            "telephone_number": "814-865-2191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 MOORE BLDG",
            "city": "UNIVERSITY PARK",
            "state": "PA",
            "postal_code": "168023103",
            "telephone_number": "814-865-2191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUBE",
        "first_name": "JONATHAN",
        "credential": "M.ED, LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-22",
        "last_updated": "2015-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC008236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Angel Soto, PHD
• Dawn J Sowers, CCC-SLP
• Margaret E. Spear, M.D.
• Amy Elizabeth Stineman
• Victoria Stout, D.O.
• Brianne Elizabeth Sturgeon
• Shinichiro Sugiura, PH.D., LAT, ATC
• Kelly Sutherland, RPH
• Curtis P Swagler, D.O.
• Sierra Madison Swenor

• Professional Counselor in University Park, PA
• Providers in University Park, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2015; 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.