Active NPI
Stacey Denise Guthrie, LPC-S
- Professional Counselor
- Olive Branch, MS
National Provider Identifier
1124477955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1239
- Practice address
- 9761 Dorothy Dr
Olive Branch, MS 38654-6598 - Phone
- (901) 412-2720
- NPI assigned
- Jun 13, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1239 | MS | Primary |
| School Counselor | 101YS0200X | 1239 | MS | |
| Mental Health Counselor | 101YM0800X | 1239 | MS |
Addresses
Primary practice location
9761 Dorothy Dr
Olive Branch, MS 38654-6598
Mailing address
8626 Airways Blvd
Southaven, MS 38671-2603
Phone (662) 772-5937
Other practice location 1
8626 Airways Blvd
Southaven, MS 38671-2603
Phone (662) 772-5937
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1239 | MS | MD | School Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Desoto Family Counseling Center PLLC | Mental Health | Current | Accepting new patients |
| Play Fabulous | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Southaven, MS
- NPI 1912214792
Mental Health
-
- Community/Behavioral Health Agency
- Olive Branch, MS
- NPI 1598129090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764979200000",
"number": "1124477955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8626 AIRWAYS BLVD",
"city": "SOUTHAVEN",
"state": "MS",
"postal_code": "386712603",
"telephone_number": "662-772-5937",
"fax_number": "662-772-5940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9761 DOROTHY DR",
"city": "OLIVE BRANCH",
"state": "MS",
"postal_code": "386546598",
"telephone_number": "901-412-2720"
}
],
"practiceLocations": [
{
"address_1": "8626 Airways Blvd",
"address_purpose": "LOCATION",
"city": "Southaven",
"state": "MS",
"postal_code": "386712603",
"country_code": "US",
"telephone_number": "662-772-5937",
"fax_number": "662-772-5940",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUTHRIE",
"first_name": "STACEY",
"middle_name": "DENISE",
"name_prefix": "Mrs.",
"credential": "LPC-S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-13",
"last_updated": "2025-12-06",
"certification_date": "2025-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MS",
"license": "1239",
"primary": true
},
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "MS",
"license": "1239",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MS",
"license": "1239",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Olive Branch, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.