MEDICARE: ANN STODART NAVARRO M.A., LPA, LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	2944	NC
2	103TP2701X	Group Psychotherapy Psychologist	1693	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154435451
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANN STODART NAVARRO M.A., LPA, LPC

Provider Business Mailing Address
First Line	:	3763 SUGAR SPRING RD
Second Line	:
City	:	GASTONIA
State	:	NC
Zip	:	28054-4993
Country	:	US
Telephone Number	:	704-868-4974
Fax Number	:	704-867-2970

Provider Business Practice Location Address
First Line	:	115 N LAFAYETTE ST
Second Line	:	SUITE 3
City	:	SHELBY
State	:	NC
Zip	:	28150-4445
Country	:	US
Telephone Number	:	704-418-1340
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/17/2006
Last Update Date	:	09/11/2025

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