Active NPI
Stacy K Sledge, MC, LPC, PLLC
- Mental Health Counselor
- Tempe, AZ
National Provider Identifier
1104468735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- STACY K SLEDGE, MC, LPC, PLLC
- Doing business as
- Iridescent Counseling Centers
- Practice address
- 2177 E Warner Rd
Tempe, AZ 85284-3511 - Phone
- (480) 236-8202
- NPI assigned
- Oct 15, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Stacy Kay Sledge, MC, LPC
- Title
- Owner, Therapist
- Phone
- (480) 236-8202
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
2177 E Warner Rd
Tempe, AZ 85284-3511
Mailing address
2177 E Warner Rd
Tempe, AZ 85284-3511
Phone (480) 236-8202
Other names 1
- Iridescent Counseling Centers
National Provider Directory
National Provider DirectoryLocations
1490 S Price Rd
Ste 109D
Chandler, AZ 85286
Phone (480) 205-4157
2177 E Warner Rd
Tempe, AZ 85284
Phone (480) 236-8202
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Tempe, AZ
- NPI 1841336773
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571097600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729468800000",
"number": "1104468735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2177 E WARNER RD",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852843511",
"telephone_number": "480-236-8202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2177 E WARNER RD",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852843511",
"telephone_number": "480-236-8202"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STACY K SLEDGE, MC, LPC, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-15",
"last_updated": "2024-10-21",
"certification_date": "2024-10-21",
"status": "A",
"authorized_official_last_name": "SLEDGE",
"authorized_official_first_name": "STACY",
"authorized_official_middle_name": "KAY",
"authorized_official_title_or_position": "OWNER, THERAPIST",
"authorized_official_telephone_number": "480-236-8202",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MC, LPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Iridescent Counseling Centers",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Iridescent Counseling Centers",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.