Individual provider Active NPI

Stacey Myers, LMHC

  • Mental Health Counselor
  • Carmel, IN
National Provider Identifier
1174181440
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
39003539A Issued in IN
Practice address
1717 E 116TH St Ste 112
Carmel, IN 46032-3572
Phone
(317) 804-4540
Fax
(317) 755-0676
NPI assigned
Jun 3, 2019
Last updated
Aug 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 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 39003539A IN Primary
Professional Counselor 101YP2500X 39003539A IN

Addresses

Primary practice location

1717 E 116TH St Ste 112
Carmel, IN 46032-3572

Mailing address

631 Nuttal St
Westfield, IN 46074-5801
Phone (317) 500-3624

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20250429000997 IN Practitioner - Mental Health Counselor 5890211247 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
39003539AINMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Discovery Counseling LLC Mental Health CurrentSince Jan 21, 2025 Accepting new patients

Locations

1717 E 116th St
Ste 102
Carmel, IN 46032
Phone (317) 804-4540

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": "1559520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1174181440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 NUTTAL ST",
            "city": "WESTFIELD",
            "state": "IN",
            "postal_code": "460745801",
            "telephone_number": "317-500-3624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 E 116TH ST STE 112",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460323572",
            "telephone_number": "317-804-4540",
            "fax_number": "317-755-0676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "STACEY",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-03",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39003539A",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IN",
            "license": "39003539A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.