Individual provider Active NPI

Stacie Danielle McGhee, MACM, LADAC

  • Addiction (Substance Use Disorder) Counselor
  • Brentwood, TN
National Provider Identifier
1235871682
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
1488 Issued in TN
Practice address
5511 Virginia Way Ste 300
Brentwood, TN 37027-7611
Phone
(615) 994-1000
Fax
(615) 994-0100
NPI assigned
Apr 7, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1488 TN Primary

Addresses

Primary practice location

5511 Virginia Way Ste 300
Brentwood, TN 37027-7611

Mailing address

5511 Virginia Way Ste 300
Brentwood, TN 37027-7611
Phone (615) 994-1000

Other practice location 1

249 Central Park Ave Ste 300-161
Virginia Beach, VA 23462-3099
Phone (757) 785-0500

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250805003320 TN Practitioner - Addiction Medicine 8628586120

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1488TNMDPrevention Professional

Practice roles

OrganizationSpecialtyStatusNew patients
The Salvation Army PastSince Apr 1, 2022 Accepting new patients

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": "1649289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1235871682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5511 VIRGINIA WAY STE 300",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277611",
            "telephone_number": "615-994-1000",
            "fax_number": "615-994-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5511 VIRGINIA WAY STE 300",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277611",
            "telephone_number": "615-994-1000",
            "fax_number": "615-994-0100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "249 Central Park Ave Ste 300-161",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234623099",
            "country_code": "US",
            "telephone_number": "757-785-0500",
            "fax_number": "757-785-0500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGHEE",
        "first_name": "STACIE",
        "middle_name": "DANIELLE",
        "name_prefix": "Mrs.",
        "credential": "MACM, LADAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-07",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TN",
            "license": "1488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, TN

Sources for this page

Verify at the official NPI Registry.