Active NPI
Katherine Stamper
- Addiction (Substance Use Disorder) Counselor
- Portsmouth, OH
National Provider Identifier
1700451887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CDCA.176560
- Practice address
- 1139 17TH St
Portsmouth, OH 45662-2910 - Phone
- (740) 353-4673
- NPI assigned
- May 21, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | QMHS | OH | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CDCA.176560 | OH | Primary |
Addresses
Primary practice location
1139 17TH St
Portsmouth, OH 45662-2910
Mailing address
800 Gallia St Ste 600
Portsmouth, OH 45662-4097
Phone (740) 353-4673
Other practice location 1
800 Gallia St Ste 600
Portsmouth, OH 45662-4097
Phone (740) 353-4673
Other names 1
- Katie Isley
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 |
|---|---|---|---|
| CDCA.176560 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| QMHS | OH | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jay Hash LLC | Addiction (Substance Use Disorder) | Current | Accepting new patients |
| Jay Hash LLC | Past | Accepting new patients |
Locations
800 Gallia St
Ste 600
Portsmouth, OH 45662
Phone (740) 353-4673
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Portsmouth, OH
- NPI 1578941381
Addiction (Substance Use Disorder)
-
- Community/Behavioral Health Agency
- Portsmouth, OH
- NPI 1518493394
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716163200000",
"number": "1700451887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 GALLIA ST STE 600",
"city": "PORTSMOUTH",
"state": "OH",
"postal_code": "456624097",
"telephone_number": "740-353-4673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1139 17TH ST",
"city": "PORTSMOUTH",
"state": "OH",
"postal_code": "456622910",
"telephone_number": "740-353-4673"
}
],
"practiceLocations": [
{
"address_1": "800 Gallia St Ste 600",
"address_purpose": "LOCATION",
"city": "Portsmouth",
"state": "OH",
"postal_code": "456624097",
"country_code": "US",
"telephone_number": "740-353-4673",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STAMPER",
"first_name": "KATHERINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-21",
"last_updated": "2024-05-20",
"certification_date": "2024-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "QMHS",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "CDCA.176560",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATIE",
"last_name": "ISLEY",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Portsmouth, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.