Individual provider Active NPI

John Everett Stone III, LPC

  • Counselor
  • Mobile, AL
National Provider Identifier
1740754266
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
4004 Issued in AL
Practice address
3811 Old Shell Rd
Mobile, AL 36608-1317
Phone
(251) 625-0118
NPI assigned
Jan 17, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 4004 AL Primary

Addresses

Primary practice location

3811 Old Shell Rd
Mobile, AL 36608-1317

Mailing address

1290 Main St Ste B
Daphne, AL 36526-8624
Phone (251) 625-0118

Other practice location 1

1290 Main St Ste B
Daphne, AL 36526-8624
Phone (251) 625-0118

Other identifiers 1

IdentifierTypeStateIssuer
1104073592OtherNEW DIRECTIONS

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
4004ALMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1547683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1740754266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 MAIN ST STE B",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365268624",
            "telephone_number": "251-625-0118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3811 OLD SHELL RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366081317",
            "telephone_number": "251-625-0118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1290 Main St Ste B",
            "address_purpose": "LOCATION",
            "city": "Daphne",
            "state": "AL",
            "postal_code": "365268624",
            "country_code": "US",
            "telephone_number": "251-625-0118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STONE",
        "first_name": "JOHN",
        "middle_name": "EVERETT",
        "name_suffix": "III",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-17",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AL",
            "license": "4004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW DIRECTIONS",
            "identifier": "1104073592",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.