Active NPI
Nathan Jon Stackhouse
- School Counselor
- Bullhead City, AZ
National Provider Identifier
1942497656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Counselor
- License
- 3941434
- Practice address
- 2380 3Rd St
Bullhead City, AZ 86429-5502 - Phone
- (567) 224-8821
- NPI assigned
- Sep 26, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| School Counselor | 101YS0200X | 3941434 | AZ | Primary |
Addresses
Primary practice location
2380 3Rd St
Bullhead City, AZ 86429-5502
Mailing address
1004 Hancock Rd
Bullhead City, AZ 86442-5946
Phone (567) 224-8821
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 |
|---|---|---|---|
| 3941434 | AZ | MD | School Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190764800000",
"number": "1942497656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1004 HANCOCK RD",
"city": "BULLHEAD CITY",
"state": "AZ",
"postal_code": "864425946",
"telephone_number": "567-224-8821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2380 3RD ST",
"city": "BULLHEAD CITY",
"state": "AZ",
"postal_code": "864295502",
"telephone_number": "567-224-8821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STACKHOUSE",
"first_name": "NATHAN",
"middle_name": "JON",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-26",
"last_updated": "2007-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "AZ",
"license": "3941434",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bullhead City, AZ
- Southwest Behavioral Health Services,Inc.
- Southwest Cardiovascular Associates Ahmed Alfafara and Prasad LTD
- Southwest Orthopedic Services LLC
- Southwestern Eye Center LTD
- St Theresa Hospice LLC
- Nicholas Scott Stagg, FNP-C
- Jennifer Staggs, MSW, LCSW
- Blake A Stamper, D.O.
- Lisa A Stanley, APN
- Statewide Express Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.