Active NPI
Stacy Kay Paskvan, LPC, LMFTA
- Professional Counselor
- Corpus Christi, TX
National Provider Identifier
1275661522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 62092
- Practice address
- 4949 Everhart Rd
Ste 104
Corpus Christi, TX 78411-3949 - Phone
- (361) 853-0091
- Fax
- (361) 853-2502
- NPI assigned
- Mar 1, 2007
- Last updated
- Oct 18, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 62092 | TX | Primary |
| Marriage & Family Therapist | 106H00000X | 201018 | TX |
Addresses
Primary practice location
4949 Everhart Rd
Ste 104
Corpus Christi, TX 78411-3949
Mailing address
5641 Duseoboc
Corpus Christi, TX 78414-6168
Phone (361) 728-3417
Other names 1
- Ms. Stacy Kay Rawle
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 |
|---|---|---|---|
| 62092 | TX | MD | Professional Counselor |
| 201018 | TX | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Benwood Counseling Service, LLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- Corpus Christi, TX
- NPI 1932237906
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192665600000",
"number": "1275661522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5641 DUSEOBOC",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784146168",
"telephone_number": "361-728-3417",
"fax_number": "361-853-2502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4949 EVERHART RD",
"address_2": "STE 104",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784113949",
"telephone_number": "361-853-0091",
"fax_number": "361-853-2502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASKVAN",
"first_name": "STACY",
"middle_name": "KAY",
"name_prefix": "Mrs.",
"credential": "LPC, LMFTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-01",
"last_updated": "2007-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "62092",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "201018",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STACY",
"last_name": "RAWLE",
"middle_name": "KAY",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Corpus Christi, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.