Anastasia Stalias-Tibbs, LPC, MA

Primary specialty

CounselorTaxonomy code 101Y00000X

License

6401224086 Issued in MI

Practice address

5900 Portage Rd
Portage, MI 49002-1774

Phone

(269) 718-3366

NPI assigned

Sep 19, 2013

Last updated

May 9, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Mental Health Counselor

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Deerfield Counseling LLCGroup PAC ID 2062861917, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Deerfield Counseling LLC

  • Counselor
  • Portage, MI
  • NPI 1992292338
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1379548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1699101865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 PORTAGE RD",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490021774",
            "telephone_number": "269-888-3206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 PORTAGE RD",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490021774",
            "telephone_number": "269-718-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STALIAS-TIBBS",
        "first_name": "ANASTASIA",
        "credential": "LPC, MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-19",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401224086",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401224086",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Spohn
• Sports Medicine & Joint Care of West Michigan, PLC (Orthopaedic Associates of Kalamazoo)
• Kate St. Aubin
• Sharyl Lynn St. John, L.M.S.W.
• Katrina Lynn Stacy, LLMSW
• Zane Stampfly, PA-C
• Sarah Stanard, PTA
• Adam D Standiford, PA-C
• Ferris R Standiford, O.D.
• Laurie Ann Standiford, R.PH.

• Counselor in Portage, MI
• Providers in Portage, MI by specialty
• Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.

Verify at the official NPI Registry.