Individual provider Active NPI

Adrian Stanley

  • Mental Health Counselor
  • Fort Meade, MD
National Provider Identifier
1700258027
Registry record updated Jun 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LGP11500 Issued in MD
Practice address
7326 Kelley Loop Unit a
Fort Meade, MD 20755-2776
Phone
(256) 694-3812
NPI assigned
Oct 26, 2015
Last updated
Jun 30, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LGP11500 MD Primary

Addresses

Primary practice location

7326 Kelley Loop Unit a
Fort Meade, MD 20755-2776

Mailing address

7326 Kelley Loop Unit a
Fort Meade, MD 20755-2776
Phone (256) 694-3812

Other practice location 1

6160 Mission Gorge Rd
Suite 108
San Diego, CA 92120-3410
Phone (619) 481-5200

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

LicenseStateTypeSpecialty
LGP11500MDMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1445817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625011200000",
    "number": "1700258027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7326 KELLEY LOOP UNIT A",
            "city": "FORT MEADE",
            "state": "MD",
            "postal_code": "207552776",
            "telephone_number": "256-694-3812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7326 KELLEY LOOP UNIT A",
            "city": "FORT MEADE",
            "state": "MD",
            "postal_code": "207552776",
            "telephone_number": "256-694-3812"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6160 Mission Gorge Rd",
            "address_2": "Suite 108",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921203410",
            "country_code": "US",
            "telephone_number": "619-481-5200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "ADRIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-26",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LGP11500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Meade, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; 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.