Active NPI
Ryan J Stoumbaugh, LPC
- Professional Counselor
- Naples, FL
National Provider Identifier
1881921633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2009033692
- Practice address
- 2010 River Reach Dr
Apt 173
Naples, FL 34104-5247 - Phone
- (573) 578-8289
- NPI assigned
- Nov 14, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2009033692 | MO | Primary |
Addresses
Primary practice location
2010 River Reach Dr
Apt 173
Naples, FL 34104-5247
Mailing address
2010 River Reach Dr
Apt 173
Naples, FL 34104-5247
Phone (573) 578-8289
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2009033692 | MO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280966400000",
"number": "1881921633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2010 RIVER REACH DR",
"address_2": "APT 173",
"city": "NAPLES",
"state": "FL",
"postal_code": "341045247",
"telephone_number": "573-578-8289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2010 RIVER REACH DR",
"address_2": "APT 173",
"city": "NAPLES",
"state": "FL",
"postal_code": "341045247",
"telephone_number": "573-578-8289"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOUMBAUGH",
"first_name": "RYAN",
"middle_name": "J",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-11-14",
"last_updated": "2010-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2009033692",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.