Jordan Stables, LMHCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

60885269 Issued in WA

Practice address

16150 NE 85TH St Ste 220
Redmond, WA 98052-3546

Phone

(425) 558-0558

NPI assigned

Aug 31, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jordan.stables@49412312072196.direct.elationemr.com

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.

• Sandbox Therapy Group, Inc.

  • Psychologist
  • Redmond, WA
  • NPI 1205378825

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1535673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535673600000",
    "number": "1902388317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16150 NE 85TH ST STE 220",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16150 NE 85TH ST STE 220",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523546",
            "telephone_number": "425-558-0558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STABLES",
        "first_name": "JORDAN",
        "credential": "LMHCA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-31",
        "last_updated": "2018-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "60885269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manpreet Singh Sran, MD
• Varsha Sridhar, MD
• Geetha Sridharan, M.D, MPH
• SRS Medical Corp.
• Stable Roots Counseling PLLC
• Cathy Stacy, LMP
• Kellie Stahlhuth
• Jennifer Stallings, MSW, LSWAIC
• Kathleen Ann Steeh, ACUPUNCTURIST
• Lindsey Elizabeth Steel, BA, AAC

• Mental Health Counselor in Redmond, WA
• Providers in Redmond, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.