Individual provider Active NPI

Orlando Stumvoll

  • Counselor
  • Tacoma, WA
National Provider Identifier
1861842239
Registry record updated Jun 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
CG60564659 Issued in WA
Practice address
1424 Tacoma Ave S
Tacoma, WA 98402-1907
Phone
(253) 310-3748
NPI assigned
Jun 16, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X CG60564659 WA Primary

Addresses

Primary practice location

1424 Tacoma Ave S
Tacoma, WA 98402-1907

Mailing address

1424 Tacoma Ave S
Tacoma, WA 98402-1907
Phone (253) 310-3748

Other identifiers 1

IdentifierTypeStateIssuer
STUMVOR430LGOtherWADRIVERS LICENSE NUMBER

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

State licenses

LicenseStateTypeSpecialty
CG60564659WAMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1466035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466035200000",
    "number": "1861842239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1424 TACOMA AVE S",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984021907",
            "telephone_number": "253-310-3748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 TACOMA AVE S",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984021907",
            "telephone_number": "253-310-3748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUMVOLL",
        "first_name": "ORLANDO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-16",
        "last_updated": "2016-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "CG60564659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE NUMBER",
            "identifier": "STUMVOR430LG",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.