Paige Stanfield-Myers, PHD LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2000159892 Issued in MO

Practice address

549 SE Shiloh Dr
Lees Summit, MO 64063-1036

Phone

(816) 419-3146

NPI assigned

Feb 24, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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.

• Institute on Bereavement & Life Transition, Inc

  • Professional Counselor
  • Lees Summit, MO
  • NPI 1114966041
  NPD (past) Authorized official

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

{
    "created_epoch": "1582502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582502400000",
    "number": "1780218370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 804",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640630804",
            "telephone_number": "816-419-3146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "549 SE SHILOH DR",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640631036",
            "telephone_number": "816-419-3146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANFIELD-MYERS",
        "first_name": "PAIGE",
        "credential": "PHD LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-24",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2000159892",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INSTITUTE ON LIFE TRANSITION",
            "identifier": "1114966041",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "LeesSummit",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "549 SE Shiloh Dr",
            "city": "Lees Summit",
            "state": "MO",
            "country_code": "US",
            "postal_code": "640631036",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• George Andrew Sroor, DDS
• SRZ Op Lees Summit LLC
• St Lukes East Anesthesia Services,P.C.
• Jordan Staley
• Kate Stamos, DDS
• Kathleen Flanigan Stark, OTR
• Morgan Stark
• Mary Starr
• Todd Alan Stastny, M.D.
• Jeremy Statton, MD

• Professional Counselor in Lees Summit, MO
• Providers in Lees Summit, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.

Verify at the official NPI Registry.