Active NPI
Stacey J Nelson, PH.D. LMFT
- Marriage & Family Therapist
- Boca Raton, FL
National Provider Identifier
1033293279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MT1804
- Practice address
- 1200 N Federal Hwy Ste 200
Boca Raton, FL 33432-2813 - Phone
- (561) 859-7779
- NPI assigned
- Oct 24, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MT1804 | FL | Primary |
Addresses
Primary practice location
1200 N Federal Hwy Ste 200
Boca Raton, FL 33432-2813
Mailing address
PO Box 7052
Delray Beach, FL 33482-7052
Phone (561) 859-7779
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240523001970 | FL | Practitioner - Marriage and Family Therapist | 7810339728 | Practice locations: Delray Beach, FL |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT1804 | FL | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479081600000",
"number": "1033293279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7052",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334827052",
"telephone_number": "561-859-7779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 N FEDERAL HWY STE 200",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334322813",
"telephone_number": "561-859-7779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "STACEY",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "PH.D. LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-24",
"last_updated": "2016-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "FL",
"license": "MT1804",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.