Individual provider Active NPI

Stacie L. Macarthur, M.ED, LPC

  • Professional Counselor
  • Phoenix, AZ
National Provider Identifier
1164574182
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5601 Issued in NC
Practice address
5150 N 16TH St Ste B132
Phoenix, AZ 85016-3900
Phone
(704) 562-8717
NPI assigned
Jan 18, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 5601 NC
Professional Counselor 101YP2500X 5601 NC Primary

Addresses

Primary practice location

5150 N 16TH St Ste B132
Phoenix, AZ 85016-3900

Mailing address

6424 Cameron Forest LN Apt 1B
Charlotte, NC 28210-5055
Phone (704) 562-8717

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241009000080 NC Practitioner - Mental Health Counselor 8628509189 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
5601NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
QC Wellness Collective, PLLC CurrentSince Mar 9, 2023 Accepting new patients

Locations

6115 Park South Dr
Ste 135
Charlotte, NC 28210
Phone (704) 285-0241

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": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1164574182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6424 CAMERON FOREST LN APT 1B",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282105055",
            "telephone_number": "704-562-8717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 N 16TH ST STE B132",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850163900",
            "telephone_number": "704-562-8717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACARTHUR",
        "first_name": "STACIE",
        "middle_name": "L.",
        "credential": "M.ED, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "5601",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "5601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.