JASON STARK LMHC CRC NPI 1225596935

NPI Information

NPI: 1225596935
Provider Name: JASON STARK, LMHC, CRC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
4910 URBANDALE AVE STE 304
DES MOINES, IA
ZIP 50310
Phone: (515) 669-8111
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Jason Stark, LMHC, CRC is a mental health counselor in Des Moines, IA. Jason Stark, LMHC, CRC NPI is 1225596935. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4910 URBANDALE AVE STE 304
DES MOINES, IA
ZIP 50310-661
Phone: (515) 669-8111

The enumeration date for this NPI number is 3/12/2019 and was last updated on 3/12/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	089993	IOWA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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