Stacey de Witt LCPC LLC (Stacey M de Witt Sole MBR)

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

STACEY DE WITT LCPC LLC (STACEY M DE WITT SOLE MBR)

Practice address

725 W Alder St Ste 10
Missoula, MT 59802-4099

Phone

(406) 529-5121

NPI assigned

Jun 3, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Stacey M De Witt, LCPCNPI 1316190317

Title

Owner/Therapist

Phone

(406) 529-5121

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stacey M. Dewitt, MA, LCPC

  • Professional Counselor
  • Missoula, MT
  • NPI 1316190317
  NPD Authorized official
• Anne Florin

  • Clinical Social Worker
  • Missoula, MT
  • NPI 1326507047
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1717372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717372800000",
    "number": "1003657131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 134",
            "city": "LOLO",
            "state": "MT",
            "postal_code": "598470134",
            "telephone_number": "406-529-5121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 W ALDER ST STE 10",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024099",
            "telephone_number": "406-529-5121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STACEY DE WITT LCPC LLC (STACEY M DE WITT SOLE MBR)",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-03",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A",
        "authorized_official_last_name": "DE WITT",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "406-529-5121",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St. Patrick Hospital & Health Sciences Center
• St. Patrick Hospital & Health Sciences Center
• St. Patrick Hospital and Health Sciences Center
• St. Patrick Hospital Corp
• Jessica Stabnau
• Stack Speech Therapy Group
• Shanna Lee Stack
• Tori Stahl, ATC
• Briiahna KC Staker
• Karin N. Stallard, MA.AC

• Mental Health Counselor in Missoula, MT
• Providers in Missoula, MT by specialty
• Mental Health Counselor in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.