Stan Dwane Buford, MS, NCC, PLCP, EMDR

Primary specialty

CounselorTaxonomy code 101Y00000X

License

2016028726 Issued in MO

Practice address

3734 South Ave Ste C
Springfield, MO 65807-5291

Phone

(417) 882-6767

Fax

(417) 882-6787

NPI assigned

Feb 9, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Springfield Marriage and Family Institute, LLC

  • Counselor
  • Springfield, MO
  • NPI 1770630188
  NPD (past)

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

{
    "created_epoch": "1518134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518134400000",
    "number": "1902305402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4236 S BROADWAY AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658101617",
            "telephone_number": "417-496-6062",
            "fax_number": "417-882-6787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3734 SOUTH AVE STE C",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075291",
            "telephone_number": "417-882-6767",
            "fax_number": "417-882-6787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUFORD",
        "first_name": "STAN",
        "middle_name": "DWANE",
        "name_prefix": "Mr.",
        "credential": "MS, NCC, PLCP, EMDR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-09",
        "last_updated": "2018-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2016028726",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2016028726",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MO",
            "license": "2016028726",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MO",
            "license": "2016028726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John W Buckner, MD
• Rose L Buckner, ED.D
• Shubhangi Budhi, M.D.
• Caitlin Buening, PT, DPT
• Sarah Buerck, MS, OTR/L
• Kandise Buie, PHARMD, BCPS
• Ashley M. Bullard, PA-C
• Joshua Bullock, DMD
• Barbara A. Bumberry, MD
• John R. Bumberry, MD

• Counselor in Springfield, MO
• Providers in Springfield, MO by specialty
• Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2018; 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.