Individual provider Active NPI

Stacey Nicole Bracey, PLPC

  • Counselor
  • Baton Rouge, LA
National Provider Identifier
1255852158
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
PLC8796 Issued in LA
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.

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

LicenseStateTypeSpecialty
PLC8796LAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Allstar Community Care, LLC PastSince Jul 21, 2024 Accepting new patients

Specialties & licenses 4

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Counselor 101Y00000X PLC8796 LA Primary
Counselor 101Y00000X
Case Manager/Care Coordinator 171M00000X PLC8796 LA

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.