Individual provider

Gary Stanforth, L.I.S.W.

Addiction (Substance Use Disorder) Counselor Mental Health Counselor Medicare enrolled

Gary Stanforth, L.I.S.W. is a Mental Health Counselor in Franklin, OH, registered under NPI 1538255534. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 8401 CLAUDE THOMAS RD SUITE 21F, Franklin, OH 45005. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

8401 CLAUDE THOMAS RD SUITE 21F, Franklin, OH 45005 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
991476 OH Addiction (Substance Use Disorder)…
I-0007783 OH Mental Health Counselor primary

This provider holds licence 991476 issued in OH. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Clinical Social Worker
PAC ID
4981600095
Enrollment ID
I20061012000682

Medicare enrolment is recorded as approved under the provider type Practitioner - Clinical Social Worker. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Mental Health covers

Definition to come... NUCC Health Care Provider Taxonomy, code 101YM0800X
Behavioral Health & Social Service Providers Counselor Mental Health

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
101YA0400X Addiction (Substance Use Disorder) Counselor Addiction (Substance Use Disorder) 991476 OH
101YM0800X Mental Health Counselor Mental Health I-0007783 OH primary

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1538255534 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateOct 5, 2006
Last updatedFeb 5, 2009
StatusActive
Sole proprietorYes
GenderMale
CredentialL.I.S.W.
Practice address 8401 CLAUDE THOMAS RD
SUITE 21F
Franklin, OH 45005
(513) 535-7668
Mailing address 9733 DEBOLD KOEBEL RD
Pleasant Plain, OH 45162
This record was last updated on Feb 5, 2009, roughly 17 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1538255534 passes the NPI check digit test The final digit 4 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 5 3 8 2 5 5 5 3
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 5 6 8 4 5 1 5 6

Sum = 66 · next multiple of 10 = 70 · check digit = 4 · actual last digit = 4

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1538255534?
NPI 1538255534 is the National Provider Identifier assigned to Gary Stanforth, L.I.S.W. in Franklin, OH. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Mental Health cover?
Definition to come...
How do I contact Gary Stanforth, L.I.S.W.?
The phone number on file with NPPES is (513) 535-7668, last updated Feb 5, 2009. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Gary Stanforth, L.I.S.W. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1538255534 a valid number?
Yes. 1538255534 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.