Active NPI
Stacey Nicole Bracey, PLPC
- Counselor
- Baton Rouge, LA
National Provider Identifier
1255852158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- PLC8796
- Practice address
- 3060 Valley Creek Dr
Baton Rouge, LA 70808-3169 - Phone
- (225) 923-3733
- Fax
- (225) 923-3735
- NPI assigned
- Jun 29, 2017
- Sex
- Female
- Sole proprietor
- No
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.
-
- Community/Behavioral Health Agency
- Baton Rouge, LA
- NPI 1194122077
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PLC8796 | LA | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allstar Community Care, LLC | Past | Accepting new patients |
Specialties & licenses 4
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Counselor | 101Y00000X | PLC8796 | LA | Primary |
| Counselor | 101Y00000X | |||
| Case Manager/Care Coordinator | 171M00000X | PLC8796 | LA |
Addresses
NPPES NPI RegistryPrimary practice location
3060 Valley Creek Dr
Baton Rouge, LA 70808-3169
Mailing address
3060 Valley Creek Dr
Baton Rouge, LA 70808-3169
Phone (225) 923-3733
Other practice location 1
820 Asbury Dr
Mandeville, LA 70471
Phone (985) 674-5155
Other practice location 2
600 Mariners Plaza Dr Ste 603
Mandeville, LA 70448-6826
Phone (985) 465-4250
Other practice location 3
820 Asbury Dr
Mandeville, LA 70471
Phone (985) 674-5155
Other practice location 4
60 Louis Prima Dr
Covington, LA 70433
Phone (985) 327-5427
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 18, 2024.
{
"created_epoch": "1498694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721260800000",
"number": "1255852158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3060 VALLEY CREEK DR",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708083169",
"telephone_number": "225-923-3733",
"fax_number": "225-923-3735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3060 VALLEY CREEK DR",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708083169",
"telephone_number": "225-923-3733",
"fax_number": "225-923-3735"
}
],
"practiceLocations": [
{
"address_1": "820 Asbury Dr",
"address_purpose": "LOCATION",
"city": "Mandeville",
"state": "LA",
"postal_code": "70471",
"country_code": "US",
"telephone_number": "985-674-5155",
"fax_number": "985-674-5156",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "600 Mariners Plaza Dr Ste 603",
"address_purpose": "LOCATION",
"city": "Mandeville",
"state": "LA",
"postal_code": "704486826",
"country_code": "US",
"telephone_number": "985-465-4250",
"fax_number": "866-497-7848",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "820 Asbury Dr",
"address_purpose": "LOCATION",
"city": "Mandeville",
"state": "LA",
"postal_code": "70471",
"country_code": "US",
"telephone_number": "985-674-5155",
"fax_number": "985-674-5156",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "60 Louis Prima Dr",
"address_purpose": "LOCATION",
"city": "Covington",
"state": "LA",
"postal_code": "70433",
"country_code": "US",
"telephone_number": "985-327-5427",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRACEY",
"first_name": "STACEY",
"middle_name": "NICOLE",
"credential": "PLPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-29",
"last_updated": "2024-07-18",
"certification_date": "2024-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "LA",
"license": "PLC8796",
"primary": true
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "LA",
"license": "PLC8796",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.