Individual provider Active NPI

Stacie Veitch, LPC

  • Mental Health Counselor
  • Bethany, OK
National Provider Identifier
1124640560
Registry record updated May 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
7362 Issued in OK
Practice address
6612 NW 42ND St
Bethany, OK 73008-2764
Phone
(405) 717-6200
NPI assigned
May 7, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 7362 OK Primary

Addresses

Primary practice location

6612 NW 42ND St
Bethany, OK 73008-2764

Mailing address

8917 NW 112TH St
Oklahoma City, OK 73162-2161
Phone (405) 476-7543

Other practice location 1

8917 NW 112th St
Oklahoma City, OK 73162-2161
Phone (405) 476-7543

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Aug 21, 2025 through Aug 21, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Nazarene University Mental Health CurrentSince Oct 24, 2021 Accepting new patients

Locations

6612 NW 42nd St
Bethany, OK 73008
Phone (405) 693-6902

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": "1588809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588809600000",
    "number": "1124640560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8917 NW 112TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731622161",
            "telephone_number": "405-476-7543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6612 NW 42ND ST",
            "city": "BETHANY",
            "state": "OK",
            "postal_code": "730082764",
            "telephone_number": "405-717-6200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8917 NW 112th St",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731622161",
            "country_code": "US",
            "telephone_number": "405-476-7543",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VEITCH",
        "first_name": "STACIE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-07",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "7362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethany, OK

Sources for this page

Verify at the official NPI Registry.