Active NPI
Roxanne Feagler Stallings, MFT
- Mental Health Counselor
- El Cerrito, CA
National Provider Identifier
1942363643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 38311
- Practice address
- 11100 San Pablo Ave
Suite 209
El Cerrito, CA 94530-2194 - Phone
- (510) 234-8734
- Fax
- (510) 234-8734
- NPI assigned
- Dec 18, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 38311 | CA | Primary |
Addresses
Primary practice location
11100 San Pablo Ave
Suite 209
El Cerrito, CA 94530-2194
Mailing address
470 Western Dr
Richmond, CA 94801
Phone (510) 234-8734
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 |
|---|---|---|---|
| 38311 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1942363643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "470 WESTERN DR",
"city": "RICHMOND",
"state": "CA",
"postal_code": "94801",
"telephone_number": "510-234-8734",
"fax_number": "510-234-8734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11100 SAN PABLO AVE",
"address_2": "SUITE 209",
"city": "EL CERRITO",
"state": "CA",
"postal_code": "945302194",
"telephone_number": "510-234-8734",
"fax_number": "510-234-8734"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STALLINGS",
"first_name": "ROXANNE",
"middle_name": "FEAGLER",
"name_prefix": "Ms.",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "38311",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Cerrito, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.