1154435451 NPI number — ANN STODART NAVARRO M.A., LPA, LPC

NPI Number: 1154435451
Health Care Provider/Practitioner: ANN STODART NAVARRO M.A., LPA, LPC

NPI Number : 1154435451 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1154435451",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "NAVARRO",
    "FirstName": "ANN",
    "MiddleName": "STODART",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "M.A., LPA, LPC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "STODART",
    "OtherFirstName": "ANN",
    "OtherMiddleName": "MARIE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "3763 SUGAR SPRING RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GASTONIA",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "28054-4993",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "704-868-4974",
    "MailingAddressFaxNumber": "704-867-2970",
    "FirstLinePracticeLocationAddress": "115 N LAFAYETTE ST",
    "SecondLinePracticeLocationAddress": "SUITE 3",
    "PracticeLocationAddressCityName": "SHELBY",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "28150-4445",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "704-418-1340",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/17/2006",
    "LastUpdateDate": "09/11/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "101YP2500X",
          "TaxonomyName": "Professional Counselor",
          "LicenseNumber": "2944",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "103TP2701X",
          "TaxonomyName": "Group Psychotherapy Psychologist",
          "LicenseNumber": "1693",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}