Active NPI
Jana Jo Staton, PHD, LCPC
- Professional Counselor
- Missoula, MT
National Provider Identifier
1720185648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LCPC 653
- Practice address
- 415 N Higgins Ave # 112
Missoula, MT 59802-4522 - Phone
- (406) 543-9491
- NPI assigned
- Sep 20, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LCPC 653 | MT | Primary |
Addresses
Primary practice location
415 N Higgins Ave # 112
Missoula, MT 59802-4522
Mailing address
629 Beverly Ave
Missoula, MT 59801-5919
Phone (406) 543-9491
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000075498 | Other | MT | BLUE CROSS/BLUE SHIELD |
| 0000250920 | Medicaid | MT |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCPC 653 | MT | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1720185648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "629 BEVERLY AVE",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598015919",
"telephone_number": "406-543-9491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 N HIGGINS AVE # 112",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598024522",
"telephone_number": "406-543-9491"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STATON",
"first_name": "JANA",
"middle_name": "JO",
"name_prefix": "Dr.",
"credential": "PHD, LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MT",
"license": "LCPC 653",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "0000075498",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0000250920",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.