Stacey Mason, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2000172763 Issued in MO

Practice address

200 NE Missouri Rd
Suite 302
Lees Summit, MO 64086-4720

Phone

(816) 523-0103

Fax

(816) 361-6471

NPI assigned

Jan 3, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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

Specialty

Mental Health Counselor

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

M a Mirza LLCGroup PAC ID 4284865056, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• M a Mirza, LLC

  • Prescribing (Medical) Psychologist
  • Lees Summit, MO
  • NPI 1376757617
  Medicare reassignment Care Compare group
• Midwest Psychiatric Consultants, P.C.

  • Specialist
  • Lees Summit, MO
  • NPI 1265472088
  NPD (past)

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262908800000",
    "number": "1073670501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 NE MISSOURI RD",
            "address_2": "SUITE 302",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640864720",
            "telephone_number": "816-523-0103",
            "fax_number": "816-361-6471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 NE MISSOURI RD",
            "address_2": "SUITE 302",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640864720",
            "telephone_number": "816-523-0103",
            "fax_number": "816-361-6471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "STACEY",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2010-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2000172763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Martin, MS, RD, LD
• Sarah Martin, M.S. CCC-SLP
• Heather Marie Maruska, PHARMD
• Kristin Marx, PHARMD
• Amy Jo Masiongale, CRNA
• Zachary Todd Masterson
• Tori Mathews, PA-C
• Paul Thomas Matlock, D.D.S.
• Bryn Mattes
• Kathi Jo Matthes, D.D.S.

• Professional Counselor in Lees Summit, MO
• Providers in Lees Summit, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2010; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.