Healthcare Provider Details

I. General information

NPI: 1235319963
Provider Name (Legal Business Name): JOHN ANDREW STONER MDIV DMIN LMFT LMHC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/09/2007
Last Update Date: 11/11/2025
Certification Date: 11/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1641 NEW CASTLE LN
SPRINGFIELD OH
45503-7714
US

IV. Provider business mailing address

11026 OLD OAK TRAIL
FT WAYNE IN
46845-9481
US

V. Phone/Fax

Practice location:
  • Phone: 379-450-4482
  • Fax:
Mailing address:
  • Phone: 260-668-8797
  • Fax: 260-665-1620

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberF.0500027
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberF.0500027
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: