Active NPI
Stacey Anne Wrightsman, MS, LPC-MHSP
- Mental Health Counselor
- Flowery Branch, GA
National Provider Identifier
1184267692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 4722 Coker Dr
Flowery Branch, GA 30542-3401 - Phone
- (615) 635-3980
- NPI assigned
- Oct 28, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
4722 Coker Dr
Flowery Branch, GA 30542-3401
Mailing address
4722 Coker Dr
Flowery Branch, GA 30542-3401
Phone (615) 635-3980
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NONE | Other | NONE |
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | NONE | Direct | |
| Other URL | None | Direct | |
| Other URL | NONE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5681 | TN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Mental Health | Current | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
40 Burton Hills Blvd
Ste 200
Nashville, TN 37215
Phone (615) 257-8410
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": "1572220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752019200000",
"number": "1184267692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4722 COKER DR",
"city": "FLOWERY BRANCH",
"state": "GA",
"postal_code": "305423401",
"telephone_number": "615-635-3980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4722 COKER DR",
"city": "FLOWERY BRANCH",
"state": "GA",
"postal_code": "305423401",
"telephone_number": "615-635-3980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRIGHTSMAN",
"first_name": "STACEY",
"middle_name": "ANNE",
"credential": "MS, LPC-MHSP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-28",
"last_updated": "2025-07-09",
"certification_date": "2025-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NONE",
"identifier": "NONE",
"state": null
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "NONE",
"affiliation": "N",
"endpointDescription": "NONE",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "NONE",
"address_1": "332 Sumner Hall Dr",
"city": "Gallatin",
"state": "TN",
"country_code": "US",
"postal_code": "370663129",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "None",
"affiliation": "N",
"endpointDescription": "None",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "None",
"address_1": "714 Cedar Hill Rd",
"city": "Scottsville",
"state": "KY",
"country_code": "US",
"postal_code": "421649810",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "NONE",
"affiliation": "N",
"endpointDescription": "NONE",
"address_1": "4722 Coker Dr",
"city": "Flowery Branch",
"state": "GA",
"country_code": "US",
"postal_code": "305423401",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Flowery Branch, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.