Organization Active NPI

Stacia a. Buchanan, MSBS, LPC-S

  • Professional Counselor
  • Lawton, OK
National Provider Identifier
1194410563
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
STACIA A. BUCHANAN, MSBS, LPC-S
Practice address
249 Lake Crest Dr
Lawton, OK 73507-9330
Phone
(580) 730-0084
Fax
(833) 279-4266
NPI assigned
Apr 10, 2023
Last updated
Aug 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Authorized official

Name
Stacia Adele Buchanan, MSBS, LPCNPI 1427193820
Title
Professional Counselor
Phone
(580) 730-0084

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

249 Lake Crest Dr
Lawton, OK 73507-9330

Mailing address

1503 W Gore Blvd
Lawton, OK 73501-3608
Phone (580) 730-0232

National Provider Directory

National Provider Directory

Locations

1503 W Gore Blvd
Lawton, OK 73501
Phone (580) 289-0246

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1681084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722816000000",
    "number": "1194410563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 W GORE BLVD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735013608",
            "telephone_number": "580-730-0232",
            "fax_number": "833-279-4266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 LAKE CREST DR",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735079330",
            "telephone_number": "580-730-0084",
            "fax_number": "833-279-4266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STACIA A. BUCHANAN, MSBS, LPC-S",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-10",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A",
        "authorized_official_last_name": "BUCHANAN",
        "authorized_official_first_name": "STACIA",
        "authorized_official_middle_name": "ADELE",
        "authorized_official_title_or_position": "PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "580-730-0084",
        "authorized_official_credential": "MSBS, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawton, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; 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.