Staci Rene' Delaney, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC-17554 Issued in AZ

Practice address

2252 Kingman Ave
Kingman, AZ 86401-4838

Phone

(928) 303-0269

NPI assigned

Feb 18, 2021

Last updated

Feb 18, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Staci R Trammell Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1613606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613606400000",
    "number": "1063005247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2252 KINGMAN AVE",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864014838",
            "telephone_number": "928-303-0269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2252 KINGMAN AVE",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864014838",
            "telephone_number": "928-303-0269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELANEY",
        "first_name": "STACI",
        "middle_name": "RENE'",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-18",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-17554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACI",
            "last_name": "TRAMMELL",
            "middle_name": "R",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Deering Therapy Services LTD
• Deering Therapy Services LTD
• Kerry Deering, OTR
• Kimberley Kiel Deering, PT
• Maryssa Del Monaco, PA
• Rachel Rae Delfino Briles, FNP-C
• Mark Lucian Demmer, RPH
• Desert Family Eye Center, P.C.
• Desert Rose Management Corp (Desert Rose Imaging Center)
• Desert West Pharmacy Inc (Desert West Pharmacy)

• Professional Counselor in Kingman, AZ
• Providers in Kingman, AZ by specialty
• Professional Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; 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.