NPIMap

Organization Active NPI

Stacey Head

  • Professional Counselor
  • Arlington, TX
National Provider Identifier
1043507247
Registry record updated Jul 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
63059 Issued in TX
Legal business name
STACEY HEAD
Practice address
814 E Abram St
Suite a
Arlington, TX 76010-1242
Phone
(512) 632-3008
NPI assigned
Jul 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2011

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

Authorized official

Name
Stacey Head, LPCNPI 1346482593
Title
Ceo
Phone
(512) 632-3008

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 63059 TX Primary

Addresses

Primary practice location

814 E Abram St
Suite a
Arlington, TX 76010-1242

Mailing address

7819 Corona CT
Arlington, TX 76002-4787
Phone (512) 632-3008

Other names 1

  • Dynasty Counseling Doing business as

National Provider Directory

National Provider Directory

Locations

814 E Abram St
Ste A
Arlington, TX 76010
Phone (512) 632-3008

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1310083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310083200000",
    "number": "1043507247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7819 CORONA CT",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760024787",
            "telephone_number": "512-632-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 E ABRAM ST",
            "address_2": "SUITE A",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760101242",
            "telephone_number": "512-632-3008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STACEY HEAD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-08",
        "last_updated": "2011-07-08",
        "status": "A",
        "authorized_official_last_name": "HEAD",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "512-632-3008",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "63059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dynasty Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2011; 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.