Individual provider Active NPI

Sara Stacey

  • Counselor
  • Arvada, CO
National Provider Identifier
1316771983
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LPC.0020972 Issued in CO
Practice address
12500 W 58TH Ave Unit 211
Arvada, CO 80002-1104
Phone
(303) 422-1567
NPI assigned
Aug 27, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LPC.0020972 CO Primary

Addresses

Primary practice location

12500 W 58TH Ave Unit 211
Arvada, CO 80002-1104

Mailing address

12500 W 58TH Ave Unit 211
Arvada, CO 80002-1104
Phone (303) 422-1567

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
LPC.0020972COMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Tabor Counseling CurrentSince Sep 1, 2024 Accepting new patients

Locations

12500 W 58th Ave
Unit 211
Arvada, CO 80002
Phone (303) 422-1567

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.

NPI Registry JSON

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

{
    "created_epoch": "1724716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1316771983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12500 W 58TH AVE UNIT 211",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800021104",
            "telephone_number": "303-422-1567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12500 W 58TH AVE UNIT 211",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800021104",
            "telephone_number": "303-422-1567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STACEY",
        "first_name": "SARA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-27",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CO",
            "license": "LPC.0020972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arvada, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.