Active NPI
Kayla Lynne Stone
- Addiction (Substance Use Disorder) Counselor
- Pleasantville, NJ
National Provider Identifier
1770106718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 1420 S New Rd Unit 9
Pleasantville, NJ 08232-3728 - Phone
- (609) 402-5776
- NPI assigned
- May 26, 2020
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
1420 S New Rd Unit 9
Pleasantville, NJ 08232-3728
Mailing address
4029 Ridge Ave
Egg Harbor Township, NJ 08234-9722
Phone (609) 402-5776
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kayla@clinicalspecialistLLC.com | Direct |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinical Specialist, LLC | Current | Accepting new patients |
Locations
1420 S New Rd
Unit 9
Pleasantville, NJ 08232
Phone (609) 200-5117
Interoperability endpoints
- https://api.platform.athenahealth.com/21497/brand/1/csg/1/fhir/r4
- kayla@clinicalspecialistllc.com
Organizations & group practices 1
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Pleasantville, NJ
- NPI 1366908303
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590451200000",
"number": "1770106718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4029 RIDGE AVE",
"city": "EGG HARBOR TOWNSHIP",
"state": "NJ",
"postal_code": "082349722",
"telephone_number": "609-402-5776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1420 S NEW RD UNIT 9",
"city": "PLEASANTVILLE",
"state": "NJ",
"postal_code": "082323728",
"telephone_number": "609-402-5776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STONE",
"first_name": "KAYLA",
"middle_name": "LYNNE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-05-26",
"last_updated": "2020-05-26",
"certification_date": "2020-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kayla@clinicalspecialistLLC.com",
"affiliation": "N",
"endpointDescription": "kayla@clinicalspecialistLLC.com",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1420 S New Rd Unit 9",
"city": "Pleasantville",
"state": "NJ",
"country_code": "US",
"postal_code": "082323728",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Pleasantville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.