Individual provider Active NPI

Stephanie Alexandra Iles, LMFT

  • Marriage & Family Therapist
  • Rockwood, TN
National Provider Identifier
1972048635
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT2084 Issued in TN
Practice address
1522 New Hope Rd.
Rockwood, TN 37854
Phone
(408) 982-7059
NPI assigned
Jan 4, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X
Marriage & Family Therapist 106H00000X LMFT128777 CA
Marriage & Family Therapist 106H00000X LMFT2084 TN Primary

Addresses

Primary practice location

1522 New Hope Rd.
Rockwood, TN 37854

Mailing address

526 Pointe Vista Dr.
Rockwood, TN 37854
Phone (408) 504-1909

Other practice location 1

16275 Monterey Rd Ste C
Morgan Hill, CA 95037-5466
Phone (408) 778-5120

Other names 1

  • Steph Iles Former name

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

LicenseStateTypeSpecialty
LMFT128777CAMDMarriage & Family Therapist
LMFT2084TNMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1483488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1972048635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 POINTE VISTA DR.",
            "city": "ROCKWOOD",
            "state": "TN",
            "postal_code": "37854",
            "telephone_number": "408-504-1909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1522 NEW HOPE RD.",
            "city": "ROCKWOOD",
            "state": "TN",
            "postal_code": "37854",
            "telephone_number": "408-982-7059"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16275 Monterey Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Morgan Hill",
            "state": "CA",
            "postal_code": "950375466",
            "country_code": "US",
            "telephone_number": "408-778-5120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ILES",
        "first_name": "STEPHANIE",
        "middle_name": "ALEXANDRA",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-04",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT128777",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TN",
            "license": "LMFT2084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPH",
            "last_name": "ILES",
            "credential": "LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rockwood, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; 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.