Active NPI
Krista Gunsalus Stephenson, LMFTA
- Marriage & Family Therapist
- Matthews, NC
National Provider Identifier
1770130783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 12141A
- Practice address
- 1140 Sam Newell Rd Ste B2
Matthews, NC 28105-5065 - Phone
- (980) 277-2301
- NPI assigned
- Aug 23, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 12141A | NC | Primary |
Addresses
Primary practice location
1140 Sam Newell Rd Ste B2
Matthews, NC 28105-5065
Mailing address
7805 Maplewood LN
Waxhaw, NC 28173-8954
Phone (765) 618-0987
Other names 1
- Krista Gunsalus
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12141A | NC | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566518400000",
"number": "1770130783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7805 MAPLEWOOD LN",
"city": "WAXHAW",
"state": "NC",
"postal_code": "281738954",
"telephone_number": "765-618-0987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1140 SAM NEWELL RD STE B2",
"city": "MATTHEWS",
"state": "NC",
"postal_code": "281055065",
"telephone_number": "980-277-2301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUNSALUS STEPHENSON",
"first_name": "KRISTA",
"credential": "LMFTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-23",
"last_updated": "2019-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NC",
"license": "12141A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTA",
"last_name": "GUNSALUS",
"credential": "LMFTA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Matthews, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.