Gary D. Stanforth,LTD.,MSW.,Lisw.,Licdc

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

GARY D. STANFORTH,LTD.,MSW.,LISW.,LICDC

Practice address

8401 Claude Thomas Rd
Suite 21 F
Franklin, OH 45005-1497

Phone

(515) 535-7668

Fax

(937) 704-0255

NPI assigned

Oct 16, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Gary D. Stanforth, L.I.S.W, L.I.C.D.C.NPI 1538255534

Title

Addictions/Mental Health Counselor

Phone

(513) 535-7668

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gary D. Stanforth, L.I.S.W.

  • Mental Health Counselor
  • Franklin, OH
  • NPI 1538255534

  Addiction (Substance Use Disorder)

  Medicare reassignment NPD Authorized official
• Lynn E Meloy, LISW

  • Clinical Social Worker
  • Franklin, OH
  • NPI 1518063635
  NPD (past)

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231977600000",
    "number": "1700966942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9733 DEBOLD KOEBEL RD",
            "city": "PLEASANT PLAIN",
            "state": "OH",
            "postal_code": "451629353",
            "telephone_number": "513-535-7668",
            "fax_number": "937-704-0255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 CLAUDE THOMAS RD",
            "address_2": "SUITE 21 F",
            "city": "FRANKLIN",
            "state": "OH",
            "postal_code": "450051497",
            "telephone_number": "515-535-7668",
            "fax_number": "937-704-0255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY D. STANFORTH,LTD.,MSW.,LISW.,LICDC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2009-01-15",
        "status": "A",
        "authorized_official_last_name": "STANFORTH",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "ADDICTIONS/MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "513-535-7668",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.I.S.W, L.I.C.D.C."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PCN",
            "identifier": "06282065",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Franklin, OH
• Providers in Franklin, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.