Staci N. Daugherty, LPCC
Individual provider Active NPI Professional Counselor · Whitley City, KY
NPI 1114206356 · NPPES record last updated Apr 17, 2025
Key facts
- NPI
- 1114206356
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 103380 (KY)
- Practice address
- 65 Center Ave
Whitley City, KY 42653-4380 - Phone
- (606) 376-3344
- NPI assigned
- Aug 5, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2004
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2112 Cave Hill LN
Lexington, KY 40513-1055
PO Box
Suite 652
Whitley City, KY 42653-0652
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260106002472 | KY | Practitioner - Mental Health Counselor | 2668968066 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103380 | KY | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thenextchapter LLP | Current |
Accepting new patients |
Locations
90 Medical Ln
Whitley City, KY 42653
Phone (606) 376-2466
65 Center Ave
Whitley City, KY 42653
Phone (606) 376-2224
76 Medical Ln
Whitley City, KY 42653
Phone (606) 376-3344
1116 N Highway 27
Whitley City, KY 42653
Phone (606) 376-7416
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 103380 | KY | Yes |
Addresses
Primary practice location
65 Center Ave
Whitley City, KY 42653-4380
Mailing address
76 Medical LN.
Whitley City, KY 42653
Phone (606) 376-3344
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100285790 | Medicaid | KY |
Other names
- Staci N. Daugherty
Other providers in Whitley City, KY
- Cumberland Family Medical Center Inc
- Cumberland Family Medical Center Inc
- Cumberland Family Medical Center Inc
- Cumberland Family Medical Center, Inc.
- Cumberland Foot and Ankle Center
- Karla Davis
- Nicky Davis
- Kelli Chantay Dixon
- Nina Dobbs
- Dustin T Douglas
All providers in Whitley City, KY · Professional Counselor in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 17, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.