Staci Pfeiffer, EDS, LPC, NCC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LPC 004675 Issued in GA

Practice address

1 Huntington Rd
Suite 103
Athens, GA 30606-7204

Phone

(706) 850-7041

Fax

(706) 850-7042

NPI assigned

Apr 15, 2010

Last updated

Apr 15, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Staci Pfeiffer-Cook LPC, LLC

  dba The Banyan Tree Center

  • Counselor
  • Athens, GA
  • NPI 1750964458
  NPD Authorized official

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

{
    "created_epoch": "1271289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271289600000",
    "number": "1114243110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HUNTINGTON RD",
            "address_2": "SUITE 103",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306067205",
            "telephone_number": "706-850-7041",
            "fax_number": "706-850-7042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HUNTINGTON RD",
            "address_2": "SUITE 103",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306067204",
            "telephone_number": "706-850-7041",
            "fax_number": "706-850-7042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFEIFFER",
        "first_name": "STACI",
        "credential": "EDS, LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-15",
        "last_updated": "2010-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "GA",
            "license": "LPC 004675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eleni Petrou
• Alexis Vickers Petry, DC
• Margret Elizabeth Pettit
• Ashley Pettoni, PSY.D.
• Damien W Pettway, ED.S., LCSW
• Jason M Pfluke, M.D.
• Emily Le Pham, PHARMD
• Tenzing Phanthok, M.D.
• Sue Macleod Phelps
• Philip a Sheffield MD PC

• Counselor in Athens, GA
• Providers in Athens, GA by specialty
• Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2010; 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.