Individual provider Active NPI

Staci Jo Carpenter, LISW

  • Clinical Social Worker
  • Grayson, KY
National Provider Identifier
1124495098
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2607648 Issued in OH
Practice address
13399 State Highway 2
Grayson, KY 41143-8640
Phone
(606) 713-3853
NPI assigned
Aug 27, 2015
Last updated
Feb 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 7394 KY
Clinical Social Worker 1041C0700X I.2607648 OH Primary

Addresses

Primary practice location

13399 State Highway 2
Grayson, KY 41143-8640

Mailing address

13399 State Highway 2
Grayson, KY 41143-8640
Phone (606) 713-3853

Other names 1

  • Staci Menix Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.2607648OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Aligned-Mind Counseling Services CurrentSince Apr 6, 2023 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: staci.carpenter.p1@direct.thecounselingcenter.nextgenshare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1440633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769990400000",
    "number": "1124495098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13399 STATE HIGHWAY 2",
            "city": "GRAYSON",
            "state": "KY",
            "postal_code": "411438640",
            "telephone_number": "606-713-3853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13399 STATE HIGHWAY 2",
            "city": "GRAYSON",
            "state": "KY",
            "postal_code": "411438640",
            "telephone_number": "606-713-3853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "STACI",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-27",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KY",
            "license": "7394",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2607648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACI",
            "last_name": "MENIX",
            "credential": "CSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grayson, KY

Sources for this page

Verify at the official NPI Registry.