Jennifer Flugstad, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

14203 Issued in AZ

Practice address

408 N Kendrick St
Suite 4
Flagstaff, AZ 86001-1582

Phone

(928) 774-6364

Fax

(928) 556-0504

NPI assigned

Oct 26, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Jennifer R Stern Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Flagstaff Child & Family Counseling Center PLLC

  • Psychologist
  • Flagstaff, AZ
  • NPI 1033311527
  NPD (past)

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482192000000",
    "number": "1811072952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 N KENDRICK ST",
            "address_2": "SUITE 4",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860011582",
            "telephone_number": "928-774-6364",
            "fax_number": "928-556-0504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 N KENDRICK ST",
            "address_2": "SUITE 4",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860011582",
            "telephone_number": "928-774-6364",
            "fax_number": "928-556-0504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLUGSTAD",
        "first_name": "JENNIFER",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2016-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "14203",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "3044-125",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "STERN",
            "middle_name": "R",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Anastasia Flole, LMT
• Michael J Flores, M.D.
• Sheryl Ann Tomagan Flores, DPT
• Susan W Flores, NP-C
• Amy Heather Flory, PT
• Kristen Deanne Flugstad, PSYD
• Lauren Loyal Fofanova, LCSW
• Karlee Nicole Folkesson
• For Your Family, Co.
• Evenstar Amelia Forbach, DNP

• Professional Counselor in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Professional Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2016; 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.