Individual provider Active NPI

Stacey Vatter, LPC, CAADC

  • Counselor
  • Troy, MI
National Provider Identifier
1053738724
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
755 W Big Beaver Rd Ste 475
Troy, MI 48084-4903
Phone
(248) 230-2511
NPI assigned
Mar 19, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

755 W Big Beaver Rd Ste 475
Troy, MI 48084-4903

Mailing address

755 W Big Beaver Rd Ste 475
Troy, MI 48084-4903
Phone (248) 230-2511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20241017001274 MI Practitioner - Mental Health Counselor 6608308440 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Richard Kneip PHD PCGroup PAC ID 4880768415, 243 clinicians

Practice addresses (Care Compare)

6548 Town Ctr Dr
Suite D
Clarkston, MI 48346-4823
Phone (800) 693-1916

89 W S Blvd
200 Great Lakes Psychology Group
Troy, MI 48085-1612
Phone (800) 693-1916

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Arise Counseling Center and Training Institute CurrentSince Feb 18, 2024 Accepting new patients
Richard Kneip, PH.D., P.C. CurrentSince Oct 10, 2024 Accepting new patients

Locations

22600 Hall Rd
Ste 201
Clinton Twp, MI 48036
Phone (586) 496-4503

89 W South Blvd
Ste 200
Troy, MI 48085
Phone (248) 813-8840

755 W Big Beaver Rd
Ste 475
Troy, MI 48084
Phone (248) 230-2511

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1395187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1053738724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 W BIG BEAVER RD STE 475",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480844903",
            "telephone_number": "248-230-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 W BIG BEAVER RD STE 475",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480844903",
            "telephone_number": "248-230-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VATTER",
        "first_name": "STACEY",
        "name_prefix": "Mrs.",
        "credential": "LPC, CAADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-19",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.