Judy K. Statler, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

001181 Issued in MO

Practice address

115 Broadway St
Cape Girardeau, MO 63701-7326

Phone

(573) 334-0018

Fax

(573) 334-0984

NPI assigned

Jul 14, 2006

Last updated

Aug 13, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186963200000",
    "number": "1912923897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 JACKSON TRL",
            "city": "JACKSON",
            "state": "MO",
            "postal_code": "637552616",
            "telephone_number": "573-243-3482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 BROADWAY ST",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637017326",
            "telephone_number": "573-334-0018",
            "fax_number": "573-334-0984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STATLER",
        "first_name": "JUDY",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2007-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "001181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11349681",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "A309278",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUECROSSBLUESHIEL",
            "identifier": "188959",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "656053",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janice R Starek, CRNA
• Shelby Marie Stark, COTA/L
• Taylor McKenzie Stark, FNP
• Starla Lee Dba Authentic Touch Direct Care Services
• State of Missouri (Cottonwood Residential Treatment Center)
• Jeffrey Scott Steele, M.D.
• William Melvin Steely, DPM
• Tiffany Dawn Steffens
• Nichole Stegeman
• Joan D Stehr, PT

• Professional Counselor in Cape Girardeau, MO
• Providers in Cape Girardeau, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2007; 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.