Individual provider Active NPI

Claire S Stuebe

  • Counselor
  • Durham, NC
National Provider Identifier
1760041230
Registry record updated Jun 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
8812 Issued in NC
Practice address
3500 Westgate Dr Ste 504
Durham, NC 27707-2568
Phone
(919) 641-2575
NPI assigned
Jun 10, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X 8812 NC Primary

Addresses

Primary practice location

3500 Westgate Dr Ste 504
Durham, NC 27707-2568

Mailing address

3500 Westgate Dr Ste 504
Durham, NC 27707-2568
Phone (919) 641-2575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
8812NCMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560124800000",
    "number": "1760041230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 WESTGATE DR STE 504",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072568",
            "telephone_number": "919-641-2575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 WESTGATE DR STE 504",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072568",
            "telephone_number": "919-641-2575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUEBE",
        "first_name": "CLAIRE",
        "middle_name": "S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-10",
        "last_updated": "2019-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "NC",
            "license": "8812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.