Carol Stansfield, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3123 Issued in CT

Practice address

380 W Avon Rd
Avon, CT 06001-2209

Phone

(860) 404-0755

NPI assigned

Feb 16, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Carol Servadio Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Creative Solutions Counseling, LLC

  • Professional Counselor
  • Avon, CT
  • NPI 1699206292
  NPD (past) Authorized official

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

{
    "created_epoch": "1487203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487203200000",
    "number": "1679012108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 W AVON RD",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060012209",
            "telephone_number": "860-404-0755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 W AVON RD",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060012209",
            "telephone_number": "860-404-0755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANSFIELD",
        "first_name": "CAROL",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-16",
        "last_updated": "2017-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "3123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "SERVADIO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kris Stahl, PT
• Artemis Stamos
• Lori A Stanczyc, MED, LPC, CPS, ES
• Stanislaw Facial Plastic Surgery Center, LLC
• Paul Stanislaw Jr., MD
• State of Connecticut
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• Mark David Stevens, P.A.
• Rachel Beth Stevenson, PTA

• Professional Counselor in Avon, CT
• Providers in Avon, CT by specialty
• Professional Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; 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.