Stacie Thaxton, LPCC, NCC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

E.1400025 Issued in OH

Practice address

945 River Rd
Granville, OH 43023-9534

Phone

(740) 587-5252

Fax

(740) 587-2571

NPI assigned

Apr 5, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Newark-Granville Psychological & Counseling Services LTD

  • Adult Mental Health Clinic/Center
  • Granville, OH
  • NPI 1891808648
  Medicare reassignment NPD
• Debbie E. Dickson Counseling, Inc

  • Mental Health Counselor
  • Coshocton, OH
  • NPI 1225189046
  NPD (past)

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

{
    "created_epoch": "1459814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1245693357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 481",
            "city": "GRANVILLE",
            "state": "OH",
            "postal_code": "430230481",
            "telephone_number": "740-587-5252",
            "fax_number": "740-587-2571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 RIVER RD",
            "city": "GRANVILLE",
            "state": "OH",
            "postal_code": "430239534",
            "telephone_number": "740-587-5252",
            "fax_number": "740-587-2571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAXTON",
        "first_name": "STACIE",
        "credential": "LPCC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-05",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "E.1400025",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.1400025",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith Spater, MED, LPCC
• Michaela Stopar, DPT
• Christy Tracy Stricker, RPH
• Aleksandar Tancevski, MD
• Benjamin Tate Jr., MS, ATC
• The Play Connection, LLC
• Debra L Thomas, RN
• Mary T. Thurlow-Collen, CNP
• Timothy J. McNeish, PH. D. LLC
• Karen A Tinsley, MA, LPC, CTMH

• Addiction (Substance Use Disorder) Counselor in Granville, OH
• Providers in Granville, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.