Jeffrey M Stovall

Primary specialty

Rehabilitation CounselorTaxonomy code 225C00000X

Practice address

8685 S Eastern Ave
Las Vegas, NV 89123-2839

Phone

(702) 292-3774

NPI assigned

Jul 20, 2020

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Specialized Alternatives for Families and Youth of Nevada, Inc.

  • Foster Care Agency
  • Las Vegas, NV
  • NPI 1841883386
  NPD (past)
• Specialized Alternatives for Families and Youth of Nevada, Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Las Vegas, NV
  • NPI 1962595348

  Rehabilitation Practitioner

  NPD (past)

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686268800000",
    "number": "1730797408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10100 ELIDA RD",
            "city": "DELPHOS",
            "state": "OH",
            "postal_code": "458339056",
            "telephone_number": "419-695-8010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8685 S EASTERN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891232839",
            "telephone_number": "702-292-3774"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4285 N Rancho Dr Ste 130",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891303455",
            "country_code": "US",
            "telephone_number": "702-385-5331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOVALL",
        "first_name": "JEFFREY",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-20",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaime Lynn Stout
• Kelly Ann Stout
• Sharijae Stout
• Zenie Stout
• Aileen Carmona Stovall
• Stacey Stovall
• Vivian Leticia Stovall, PSY.D., LP
• Ruslana Stovner
• Carmen Stowe
• Laura Stowe

• Rehabilitation Counselor in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Rehabilitation Counselor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; 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.