Stephanie Jeanine-Elizabeth Staco, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

010484 Issued in NY

Practice address

819 University St
North Woodmere, NY 11581-3517

Phone

(516) 578-4567

NPI assigned

Jan 8, 2018

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

Other names 1

• Stephanie Dandrea Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: stephanie.staco.p1@direct.premierhealthcare.nextgenshare.com

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.

• Sunstone Psychotherapy Mental Health Counseling PC

  • Mental Health Counselor
  • North Woodmere, NY
  • NPI 1942913199
  NPD Authorized official

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

{
    "created_epoch": "1515369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636934400000",
    "number": "1154838431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 UNIVERSITY ST",
            "city": "NORTH WOODMERE",
            "state": "NY",
            "postal_code": "115813517",
            "telephone_number": "516-578-4567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 UNIVERSITY ST",
            "city": "NORTH WOODMERE",
            "state": "NY",
            "postal_code": "115813517",
            "telephone_number": "516-578-4567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STACO",
        "first_name": "STEPHANIE",
        "middle_name": "JEANINE-ELIZABETH",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-08",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "010484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "DANDREA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Florence Jean Baptiste
• Fredrica Beth Lieberstein, OTR/L
• Allan Maltman, DDS
• Joshua Prero, MD
• Frederic S. Solow, C.P.O.
• Sunstone Psychotherapy Mental Health Counseling PC
• Samantha Zarou, LMHC

• Mental Health Counselor in North Woodmere, NY
• Providers in North Woodmere, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; 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.