Active NPI
Whitney Ashlyn Russell Stabile, LPC-S
- Mental Health Counselor
- Richardson, TX
National Provider Identifier
1942548763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 65929
- Practice address
- 2400 Lakeside Blvd Ste 620
Richardson, TX 75082-4341 - Phone
- (972) 658-9499
- NPI assigned
- Jan 29, 2013
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 65929 | TX | Primary |
Addresses
Primary practice location
2400 Lakeside Blvd Ste 620
Richardson, TX 75082-4341
Mailing address
2400 Lakeside Blvd Ste 620
Richardson, TX 75082-4341
Phone (972) 658-9499
Other names 1
- Whitney Ashlyn Russell
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 3, 2024 through Oct 3, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 65929 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717632000000",
"number": "1942548763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 LAKESIDE BLVD STE 620",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750824341",
"telephone_number": "972-658-9499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 LAKESIDE BLVD STE 620",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750824341",
"telephone_number": "972-658-9499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STABILE",
"first_name": "WHITNEY",
"middle_name": "ASHLYN RUSSELL",
"credential": "LPC-S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-29",
"last_updated": "2024-06-06",
"certification_date": "2024-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "65929",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "WHITNEY",
"last_name": "RUSSELL",
"middle_name": "ASHLYN",
"credential": "LPC-S",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Richardson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.