Active NPI
Stephanie Alexandra Iles, LMFT
- Marriage & Family Therapist
- Rockwood, TN
National Provider Identifier
1972048635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT2084
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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 |
|---|---|---|---|
| LMFT128777 | CA | MD | Marriage & Family Therapist |
| LMFT2084 | TN | MD | Marriage & 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.