Individual provider Active NPI

Stacey Ogden, LPC

  • Counselor
  • Dallas, TX
National Provider Identifier
1033681887
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
80150 Issued in TX
Practice address
1420 W Mockingbird LN Ste 105
Dallas, TX 75247-4936
Phone
(469) 983-1300
NPI assigned
Dec 18, 2018
Last updated
Sep 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 80150 TX Primary

Addresses

Primary practice location

1420 W Mockingbird LN Ste 105
Dallas, TX 75247-4936

Mailing address

3417 Cricket Dr
Denton, TX 76207-1730
Phone (214) 636-0869

Other practice location 1

3417 Cricket Dr
Denton, TX 76207-1730
Phone (214) 636-0869

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260326003461 TX Practitioner - Mental Health Counselor 6002391141 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1420 W Mockingbird LN
Suite 455
Dallas, TX 75247-4931

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
80150TXMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Symbios Integrative Health LLC CurrentSince Sep 24, 2023 Accepting new patients
Symbios Plus LLC CurrentSince Feb 10, 2026 Accepting new patients
Donald Stiles Counseling, PLLC PastSince Sep 24, 2023 Accepting new patients

Locations

1420 W Mockingbird Ln
Ste 105
Dallas, TX 75247
Phone (469) 983-1300

1420 W Mockingbird Ln
Ste 455
Dallas, TX 75247
Phone (469) 483-1300

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1545091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1033681887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3417 CRICKET DR",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762071730",
            "telephone_number": "214-636-0869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 W MOCKINGBIRD LN STE 105",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752474936",
            "telephone_number": "469-983-1300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3417 Cricket Dr",
            "address_purpose": "LOCATION",
            "city": "Denton",
            "state": "TX",
            "postal_code": "762071730",
            "country_code": "US",
            "telephone_number": "214-636-0869",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OGDEN",
        "first_name": "STACEY",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-18",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "80150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.