Individual provider Active NPI

Stacy Erin Rose, PLMHP

  • Counselor
  • Sioux City, IA
National Provider Identifier
1114101839
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
082597 Issued in IA
Practice address
1221 Pierce St
Sioux City, IA 51105-1418
Phone
(712) 328-3700
Fax
(712) 328-3721
NPI assigned
Dec 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 082597 IA Primary

Addresses

Primary practice location

1221 Pierce St
Sioux City, IA 51105-1418

Mailing address

1221 Pierce St
Sioux City, IA 51105-1418
Phone (712) 328-3700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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

Enrollment IDStateProvider typePAC IDDetails
I20260324003892 IA Practitioner - Mental Health Counselor 0749764009 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Access Center IncGroup PAC ID 2567715774, 4 clinicians

Practice addresses (Care Compare)

1221 Pierce St
Sioux City, IA 51105-1418
Phone (712) 255-0204

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
082597IAMDCounselor

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.

NPI Registry JSON

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

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1114101839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 PIERCE ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511051418",
            "telephone_number": "712-328-3700",
            "fax_number": "712-328-3721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 PIERCE ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511051418",
            "telephone_number": "712-328-3700",
            "fax_number": "712-328-3721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "STACY",
        "middle_name": "ERIN",
        "credential": "PLMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-18",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IA",
            "license": "082597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux City, IA

Sources for this page

Verify at the official NPI Registry.