JUDITH ANN STUBANAS (NPI# 1144572801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144572801 |
| Entity Type | Individual |
| Full Name | JUDITH ANN STUBANAS |
| Credential | LPC |
| Practice Address |
270 Horizon Dr Raleigh NC 27615-4922 |
| Mailing Address |
260 Horizon Dr Raleigh NC 27615-4922 |
| Practice Telephone | 9198450623 |
| Practice Fax Number | 9194881716 |
| Mailing Telephone | 9194880015 |
| Mailing Fax Number | 9192770066 |
| Enumeration Date | 2012-10-04 |
| Last Update Date | 2016-05-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
8590 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6115165 | 05 |
| Street Address |
270 HORIZON DR |
| City | RALEIGH |
| State | NC |
| Zip Code | 27615-4922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578639050 | Karen R Stevens | Psychologist | 270 Horizon Dr, Raleigh, NC 27615-4922 | 2006-11-28 |
| 1124493598 | Joanna Katarzyna Janik | Nurse Practitioner | 270 Horizon Dr, Raleigh, NC 27615-4922 | 2015-12-09 |
| 1730579285 | Andrea Marie Roche | Counselor | 270 Horizon Dr, Raleigh, NC 27615-4922 | 2015-02-04 |
| 1699026971 | Alexandra Nicole Beckwith | Counselor | 270 Horizon Dr, Raleigh, NC 27615-4922 | 2012-09-26 |
| 1316238686 | Growing Child Office Meds Inc | Pharmacy | 270 Horizon Dr, Raleigh, NC 27615-4922 | 2011-04-21 |
| 1033412580 | Growing Child Pediatrics | Counselor | 270 Horizon Dr, Raleigh, NC 27615-4922 | 2010-12-06 |
| 1992029805 | Jessie Merrinda Sell | Marriage & Family Therapist | 270 Horizon Dr, Raleigh, NC 27615-4922 | 2010-03-22 |
| 1356532691 | Cortney Lynn Mouillesseaux | Pediatrics | 270 Horizon Dr, Raleigh, NC 27615-4922 | 2007-08-01 |
| 1427181502 | Michelle H Bae | Nurse Practitioner | 270 Horizon Dr, Raleigh, NC 27615-4922 | 2007-03-14 |
| 1396873667 | Kelly A Carney | Pediatrics | 270 Horizon Dr, Raleigh, NC 27615-4922 | 2007-03-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588278535 | Emily Grace Johnson | Behavior Technician | 119 Wind Chime Court, Suite 4, Raleigh, NC 27615 | 2020-09-06 |
| 1730706110 | Maja V Martin, Dds, Pa1 | Clinic/Center | 7371 Six Forks Road, Raleigh, NC 27615 | 2020-07-01 |
| 1972146967 | Atlantic Avenue Pharmaceutical, Inc | Pharmacy | 5621 Atlantic Ave, Suite 103, Raleigh, NC 27615 | 2019-10-22 |
| 1023503950 | Siyara Shannay Dobbs | Social Worker | 7013 Woodbend Dr Apt H, Raleigh, NC 27615 | 2018-06-23 |
| 1194210153 | Brittanie Ja'nell Harris | Dentist | 1911 Falls Valley Dr Ste 107, Raleigh, NC 27615 | 2018-06-22 |
| 1710489448 | Sherise Swensen | Social Worker | 8368 Six Forks Road, Suite 101, Raleigh, NC 27615 | 2018-03-08 |
| 1881100345 | Casey Paul Baine | Counselor | 6330 Falls of Neuse Rd Ste 104, Raleigh, NC 27615 | 2017-12-20 |
| 1588177885 | Michael Lacidonia | Acupuncturist | 6400 Falls of Neuse Rd Ste 200, Raleigh, NC 27615 | 2017-11-08 |
| 1457877631 | Matt Henderson | Behavioral Analyst | 8374 Six Forks Road, Suite 101, Raleigh, NC 27615 | 2017-08-18 |
| 1760907646 | Shakeda Muldrow | Social Worker | 7323 Brookbank Lane, Raleigh, NC 27615 | 2017-08-11 |
| Find all providers in zip 27615 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861007759 | James Carroll Pittman IIi | Counselor | 2301 Stonehenge Dr Ste 110, Raleigh, NC 27615-4379 | 2020-09-09 |
| 1043820715 | Keep Counsel | Counselor | 8320 Hardeth Way, Raleigh, NC 27616-3237 | 2020-08-06 |
| 1023647047 | Lets Cope Counseling Services Pllc | Counselor | 1631 Midtown Pl Ste 104-126, Raleigh, NC 27609-1300 | 2020-04-02 |
| 1841834785 | Vernetta J Davis | Counselor | 6604 Six Forks Rd Ste 101, Raleigh, NC 27615-6521 | 2019-11-04 |
| 1053955187 | Kelsie Ann Adkisson | Counselor | 5171 Glenwood Ave Ste 221, Raleigh, NC 27612-3266 | 2019-10-31 |
| 1841841012 | Galana Tennille Chookolingo | Counselor | 1123 Ileagnes Rd, Raleigh, NC 27603-2378 | 2019-09-27 |
| 1720639917 | Kelly Marie Nelson | Counselor | 205 Delway St Unit A, Raleigh, NC 27604-1131 | 2019-09-27 |
| 1720649890 | Maryann Kathryn Garcia | Counselor | 5805 Hampton Ridge Rd, Raleigh, NC 27603-9259 | 2019-06-27 |
| 1568929503 | Kelly Harrison Counseling Pllc | Counselor | 3200 Wake Forest Rd Ste 204, Raleigh, NC 27609-7451 | 2019-02-26 |
| 1639645278 | Donald G Wiggins | Counselor | 7516 Longstreet Dr, Raleigh, NC 27615-6131 | 2018-10-22 |
| Find all providers in RALEIGH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.