Stanley Robinson, CRADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

8346 Issued in MO

Practice address

895 State Highway 248 Ste C
Branson, MO 65616-4013

Phone

(417) 527-8877

Fax

(833) 496-0823

NPI assigned

Oct 20, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• The Brook Wellness Center, Inc

  • Addiction (Substance Use Disorder) Counselor
  • Branson West, MO
  • NPI 1467008599
  NPD

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

{
    "created_epoch": "1603152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603152000000",
    "number": "1851990048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 826",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656150826",
            "telephone_number": "417-527-8877",
            "fax_number": "833-496-0823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 STATE HIGHWAY 248 STE C",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656164013",
            "telephone_number": "417-527-8877",
            "fax_number": "833-496-0823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "STANLEY",
        "credential": "CRADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-20",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MO",
            "license": "8346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@thebrookwellnesscenter.org",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "895 State Highway 248 Ste C",
            "city": "Branson",
            "state": "MO",
            "country_code": "US",
            "postal_code": "656164013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jon Kevin Richter, MD
• Emily Ridenour, ATC
• Maryann Riveros, LMT
• Jessica M Robart, LPC
• Krystal Lynn Robertson, ATC
• Nichole J Rodrock, CNP
• Alesha Lea Rose, MSN, APRN, FNP-BC
• Clifford Bruce Rotton, D.O., FACOS
• RPCS, Inc.
• Thuy T. Rudy, MS, CASAC, LPC

• Addiction (Substance Use Disorder) Counselor in Branson, MO
• Providers in Branson, MO by specialty
• Addiction (Substance Use Disorder) Counselor in Missouri

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