Stacey Dawn Davis, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2001007479 Issued in MO

Practice address

9001 State Line Rd Ste 300
Kansas City, MO 64114-3212

Phone

(816) 363-2600

Fax

(816) 523-0068

NPI assigned

Oct 23, 2018

Last updated

Feb 13, 2025By the provider in NPPES

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 KS, MO2 enrollments

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 2

Specialty

Mental Health Counselor

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kansas City Hospice IncGroup PAC ID 3971413295, 11 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kansas City Hospice, Inc

  dba Kansas City Palliative Medicine

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Kansas City, MO
  • NPI 1699726380

  KS

  Medicare reassignment Care Compare group NPD
• Kansas City Hospice, Inc

  dba Solace House

  • Clinical Social Worker
  • Shawnee Mission, KS
  • NPI 1124750914
  NPD

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

{
    "created_epoch": "1540252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1316413818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9001 STATE LINE RD STE 300",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641143212",
            "telephone_number": "816-363-2600",
            "fax_number": "816-523-0068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9001 STATE LINE RD STE 300",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641143212",
            "telephone_number": "816-363-2600",
            "fax_number": "816-523-0068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "STACEY",
        "middle_name": "DAWN",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-23",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KS",
            "license": "03723",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2001007479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nadine Davis, CRNA
• Nicole Lynn Davis, COTA/L
• Patricia Ann Davis
• Roy Clarence Davis
• Shelby Allison Davis, FNP-C
• Tara Davis, LCSW
• Terra L Davis, PTA
• Tynesia Davis, LMT
• Joshua Lee Davison
• Jennifer H Davisson, PA-C

• Professional Counselor in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.