Individual provider Active NPI

Stacie A.E. McLean, LMHCA

  • Mental Health Counselor
  • Gig Harbor, WA
National Provider Identifier
1245463553
Registry record updated Feb 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MC60210748 Issued in WA
Practice address
6712 Kimball Dr
#103
Gig Harbor, WA 98335-1212
Phone
(253) 245-9221
Fax
(855) 269-3268
NPI assigned
Sep 2, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2013

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 MC60210748 WA Primary

Addresses

Primary practice location

6712 Kimball Dr
#103
Gig Harbor, WA 98335-1212

Mailing address

1708 197TH Avenue KP S
Lakebay, WA 98349-8111
Phone (253) 245-9221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Nov 1, 2025 through Nov 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MC60210748WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1251849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361750400000",
    "number": "1245463553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1708 197TH AVENUE KP S",
            "city": "LAKEBAY",
            "state": "WA",
            "postal_code": "983498111",
            "telephone_number": "253-245-9221",
            "fax_number": "855-269-3268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6712 KIMBALL DR",
            "address_2": "#103",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351212",
            "telephone_number": "253-245-9221",
            "fax_number": "855-269-3268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLEAN",
        "first_name": "STACIE",
        "middle_name": "A.E.",
        "credential": "LMHCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-02",
        "last_updated": "2013-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC60210748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gig Harbor, WA

Sources for this page

Verify at the official NPI Registry.