Active NPI
Stacy Renee Howell, CADC1
- Addiction (Substance Use Disorder) Counselor
- Albany, GA
National Provider Identifier
1679077762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 1032
- Practice address
- 2607 Ledo Rd
Albany, GA 31707-1211 - Phone
- (229) 903-0022
- Fax
- (229) 903-0025
- NPI assigned
- Mar 22, 2018
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1032 | GA | Primary |
Addresses
Primary practice location
2607 Ledo Rd
Albany, GA 31707-1211
Mailing address
2607 Ledo Rd
Albany, GA 31707-1211
Phone (229) 903-0022
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1032 | Medicaid | GA |
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 |
|---|---|---|---|
| 1032 | GA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521676800000",
"number": "1679077762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2607 LEDO RD",
"city": "ALBANY",
"state": "GA",
"postal_code": "317071211",
"telephone_number": "229-903-0022",
"fax_number": "229-903-0025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2607 LEDO RD",
"city": "ALBANY",
"state": "GA",
"postal_code": "317071211",
"telephone_number": "229-903-0022",
"fax_number": "229-903-0025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOWELL",
"first_name": "STACY",
"middle_name": "RENEE",
"credential": "CADC1",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-22",
"last_updated": "2018-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "GA",
"license": "1032",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1032",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Albany, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.