Stacey C Smith

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

4166 Lindell Blvd Ste 1B
Saint Louis, MO 63108-2923

Phone

(314) 484-7758

NPI assigned

Sep 23, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Celebrationpointe

  • Community Health Clinic/Center
  • Hazelwood, MO
  • NPI 1073099404

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1569196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1205487139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4166 LINDELL BLVD STE 1B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631082923",
            "telephone_number": "314-484-7758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4166 LINDELL BLVD STE 1B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631082923",
            "telephone_number": "314-484-7758"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6110 Howdershell Rd",
            "address_purpose": "LOCATION",
            "city": "Hazelwood",
            "state": "MO",
            "postal_code": "630421170",
            "country_code": "US",
            "telephone_number": "314-942-9499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "STACEY",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-23",
        "last_updated": "2023-11-27",
        "certification_date": "2020-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073099404",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.celebrationPointe.org",
            "affiliation": "Y",
            "address_1": "6110 Howdershell Rd",
            "city": "Hazelwood",
            "state": "MO",
            "country_code": "US",
            "postal_code": "630421170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sharon Smith
• Shayla Dana Smith
• Shaylynn Weststeyn Smith, AUD
• Sherea Monica Smith, MD
• Stacey Smith, LCSW
• Stacey Lee Smith, MD
• Stephanie Smith
• Stephanie Michelle Smith, LCSW
• Stephen James Smith, D.O.
• Stephen M Smith, A.A.

• Case Manager/Care Coordinator in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Case Manager/Care Coordinator in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.