Individual provider Active NPI

Jessica Sanders Stanko, MS, LPC

  • Mental Health Counselor
  • Dallas, TX
National Provider Identifier
1972111532
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
79407 Issued in TX
Practice address
17103 Preston Rd Ste 160
Dallas, TX 75248-1486
Phone
(469) 708-6520
NPI assigned
Jul 20, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 79407 TX Primary

Addresses

Primary practice location

17103 Preston Rd Ste 160
Dallas, TX 75248-1486

Mailing address

631 Ashbury LN
Prosper, TX 75078-1959
Phone (913) 908-3702

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jessica@newleafclinic.com Direct Dallas New Leaf Clinic
Direct Messaging Address jessica@mend-counseling.com Direct Mend Counseling Services PLLC

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
79407TXMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1972111532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 ASHBURY LN",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750781959",
            "telephone_number": "913-908-3702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17103 PRESTON RD STE 160",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752481486",
            "telephone_number": "469-708-6520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANKO",
        "first_name": "JESSICA",
        "middle_name": "SANDERS",
        "credential": "MS, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-20",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "79407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jessica@newleafclinic.com",
            "affiliation": "Y",
            "endpointDescription": "Email",
            "affiliationName": "Dallas New Leaf Clinic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "17103 Preston Rd Ste 160",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752481486",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jessica@mend-counseling.com",
            "affiliation": "Y",
            "endpointDescription": "Email",
            "affiliationName": "Mend Counseling Services PLLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "5307 E Mockingbird Ln Ste 975",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752060959",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; 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.