Stacie Armstrong
Individual provider Active NPI Professional Counselor · Texarkana, AR
NPI 1245560671 · NPPES record last updated Jan 20, 2022
Key facts
- NPI
- 1245560671
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- P1203039 (AR)
- Practice address
- 300 E 6TH St
Texarkana, AR 71854-5207 - Phone
- (870) 772-0156
- Fax
- (870) 772-0157
- NPI assigned
- Jan 7, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A1040047 | AR | MD | Counselor |
| P1203039 | AR | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychological & Counseling Center | Professional | Current | Accepting new patients |
Locations
300 E 6th St
Fl 3
Texarkana, AR 71854
Phone (870) 772-0156
300 E 6th St
Texarkana, AR 71854
Phone (870) 779-6000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | P1203039 | AR | Yes |
| Counselor | 101Y00000X | A1040047 | AR | |
| Case Manager/Care Coordinator | 171M00000X |
Addresses
Primary practice location
300 E 6TH St
Texarkana, AR 71854-5207
Mailing address
300 E 6TH St
Texarkana, AR 71854-5207
Phone (870) 772-0156
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 20, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.