Active NPI
Stacy Maclean Healy, MA LPC
- Counselor
- Marysville, MI
National Provider Identifier
1093847766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 6404005870
- Practice address
- 1600 Gratiot Blvd Ste 4 BLDG B
Marysville, MI 48040-1145 - Phone
- (810) 364-5800
- Fax
- (810) 364-1200
- NPI assigned
- Mar 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 6404005870 | MI | Primary |
Addresses
Primary practice location
1600 Gratiot Blvd Ste 4 BLDG B
Marysville, MI 48040-1145
Mailing address
6916 Francis Street
Camlachie, ONTARIO N0N1E0
CA
Phone (519) 869-2209
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6404005870 | MI | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emca Counseling PC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Psychologist
- Marysville, MI
- NPI 1639234115
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1093847766",
"addresses": [
{
"country_code": "CA",
"country_name": "Canada",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "6916 FRANCIS STREET",
"city": "CAMLACHIE",
"state": "ONTARIO",
"postal_code": "N0N1E0",
"telephone_number": "519-869-2209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 GRATIOT BLVD STE 4 BLDG B",
"city": "MARYSVILLE",
"state": "MI",
"postal_code": "480401145",
"telephone_number": "810-364-5800",
"fax_number": "810-364-1200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACLEAN HEALY",
"first_name": "STACY",
"credential": "MA LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MI",
"license": "6404005870",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marysville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.