Individual provider Active NPI

Stacey Renee Markley

  • Mental Health Counselor
  • Lakebay, WA
National Provider Identifier
1174429203
Registry record updated Oct 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CAAR.CG.70172032 Issued in WA
Practice address
8903 Key Peninsula Hwy NW
Lakebay, WA 98349-9326
Phone
(360) 350-8855
NPI assigned
Oct 15, 2026
Last updated
Oct 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2026

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 CAAR.CG.70172032 WA Primary

Addresses

Primary practice location

8903 Key Peninsula Hwy NW
Lakebay, WA 98349-9326

Mailing address

12140 Koeppen Rd SE Unit B
Rainier, WA 98576-9639
Phone (360) 350-8855

Other practice location 1

12140 Koeppen Rd SE Unit B
Rainier, WA 98576-9639
Phone (360) 350-8855

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1792022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792022400000",
    "number": "1174429203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12140 KOEPPEN RD SE UNIT B",
            "city": "RAINIER",
            "state": "WA",
            "postal_code": "985769639",
            "telephone_number": "360-350-8855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8903 KEY PENINSULA HWY NW",
            "city": "LAKEBAY",
            "state": "WA",
            "postal_code": "983499326",
            "telephone_number": "360-350-8855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12140 Koeppen Rd SE Unit B",
            "address_purpose": "LOCATION",
            "city": "Rainier",
            "state": "WA",
            "postal_code": "985769639",
            "country_code": "US",
            "telephone_number": "360-350-8855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARKLEY",
        "first_name": "STACEY",
        "middle_name": "RENEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-10-15",
        "last_updated": "2026-10-15",
        "certification_date": "2026-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "CAAR.CG.70172032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakebay, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2026; 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.