Individual provider Active NPI

Stanley Ray Harlan, M.DIV., M.ED.

  • Professional Counselor
  • San Marcos, TX
National Provider Identifier
1689678302
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
10684 Issued in TX
Practice address
300 S C M Allen Pkwy Ste 400
San Marcos, TX 78666-6954
Phone
(512) 396-8540
Fax
(512) 396-5680
NPI assigned
Jun 9, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 003277 TX
Professional Counselor 101YP2500X 10684 TX Primary

Addresses

Primary practice location

300 S C M Allen Pkwy Ste 400
San Marcos, TX 78666-6954

Mailing address

300 S C M Allen Pkwy Ste 400
San Marcos, TX 78666-6954
Phone (512) 665-2083

Other identifiers 1

IdentifierTypeStateIssuer
025985501MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250109001278 TX Practitioner - Mental Health Counselor 4688119472 Practice locations: San Marcos, TX

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

300 S C M Allen Pkwy
Suite 400
San Marcos, TX 78666-6954

300 S CM Allen Pkwy
Suite 400
San Marcos, TX 78666-6954
Phone (512) 396-8540

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
003277TXMDMarriage & Family Therapist
10684TXMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1689678302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S C M ALLEN PKWY STE 400",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786666954",
            "telephone_number": "512-665-2083",
            "fax_number": "512-396-5680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S C M ALLEN PKWY STE 400",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786666954",
            "telephone_number": "512-396-8540",
            "fax_number": "512-396-5680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARLAN",
        "first_name": "STANLEY",
        "middle_name": "RAY",
        "name_prefix": "Mr.",
        "credential": "M.DIV., M.ED.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "003277",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "10684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "025985501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, TX

Sources for this page

Verify at the official NPI Registry.