Active NPI
Jill Stamison, MA, CAADC
- Addiction (Substance Use Disorder) Counselor
- Muskegon, MI
National Provider Identifier
1851640213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- C-02588
- Practice address
- 125 E. Southern Avenue
Muskegon, MI 49442-0000 - Phone
- (231) 726-3582
- Fax
- (231) 722-6933
- NPI assigned
- Aug 31, 2012
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | C-02588 | MI | Primary |
Addresses
Primary practice location
125 E. Southern Avenue
Muskegon, MI 49442-0000
Mailing address
125 E. Southern Avenue
Muskegon, MI 49442-0000
Phone (231) 726-3582
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
| License | State | Type | Specialty |
|---|---|---|---|
| C-02588 | MI | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346371200000",
"number": "1851640213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 E. SOUTHERN AVENUE",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494420000",
"telephone_number": "231-726-3582",
"fax_number": "231-722-6933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 E. SOUTHERN AVENUE",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494420000",
"telephone_number": "231-726-3582",
"fax_number": "231-722-6933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAMISON",
"first_name": "JILL",
"credential": "MA, CAADC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-31",
"last_updated": "2012-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MI",
"license": "C-02588",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Muskegon, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.