Active NPI
Stanley Ray Harlan, M.DIV., M.ED.
- Professional Counselor
- San Marcos, TX
National Provider Identifier
1689678302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 10684
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 025985501 | Medicaid | TX |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 003277 | TX | MD | Marriage & Family Therapist |
| 10684 | TX | MD | Dentist |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.