Individual provider Active NPI

Edward O. Stuber, MA, ICAADC

  • Addiction (Substance Use Disorder) Counselor
  • Harrisburg, PA
National Provider Identifier
1831721281
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
9210 Issued in PA
Practice address
6808 Clubhouse Dr Apt G
Harrisburg, PA 17111-7010
Phone
(717) 461-2299
NPI assigned
Feb 4, 2020
Last updated
Jun 26, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 9210 PA Primary
Professional Counselor 101YP2500X PC015144 PA

Addresses

Primary practice location

6808 Clubhouse Dr Apt G
Harrisburg, PA 17111-7010

Mailing address

6808 Clubhouse Dr Apt G
Harrisburg, PA 17111-7010
Phone (717) 461-2299

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ed@elementalhealers.co 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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
9210PAMDAddiction (Substance Use Disorder) Counselor
PC015144PAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1580774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1831721281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6808 CLUBHOUSE DR APT G",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171117010",
            "telephone_number": "717-461-2299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6808 CLUBHOUSE DR APT G",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171117010",
            "telephone_number": "717-461-2299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUBER",
        "first_name": "EDWARD",
        "middle_name": "O.",
        "credential": "MA, ICAADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-04",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "PA",
            "license": "9210",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC015144",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ed@elementalhealers.co",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6808 Clubhouse Dr Apt G",
            "city": "Harrisburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "171117010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2025; 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.