Organization Active NPI

Stacy K Sledge, MC, LPC, PLLC

  • Mental Health Counselor
  • Tempe, AZ
National Provider Identifier
1104468735
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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

Updated by the provider on Oct 21, 2024

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

Authorized official

Name
Mrs. Stacy Kay Sledge, MC, LPCNPI 1841336773
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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.