Stacey Lynn Ford, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

5302 Issued in NC

Practice address

200 Valencia Dr
Suite 137
Jacksonville, NC 28546-6313

Phone

(910) 353-1957

Fax

(910) 353-2516

NPI assigned

Aug 31, 2006

Last updated

Jun 16, 2009By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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 1

Specialty

Mental Health Counselor

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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.

• Making Transitions PC

  • Counselor
  • Jacksonville, NC
  • NPI 1659509008
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245110400000",
    "number": "1326158353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 VALENCIA DR",
            "address_2": "SUITE 137",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466313",
            "telephone_number": "910-353-1957",
            "fax_number": "910-353-2516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 VALENCIA DR",
            "address_2": "SUITE 137",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466313",
            "telephone_number": "910-353-1957",
            "fax_number": "910-353-2516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "STACEY",
        "middle_name": "LYNN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2009-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "5302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Anne Fontinha, PA
• Ford Home
• Ford Home
• Ford Home
• Aisha Ford, RD, LDN
• Matthew Snider Foster, BSRPH
• Fountain Therapeutic and Supportive Services LLC (MiraLife Health Services)
• Jessica Lynn Fountain, PHARM D.
• Marie Francis, MA, LCMHC, NCC
• Bonnie Frank, NP

• Professional Counselor in Jacksonville, NC
• Providers in Jacksonville, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2009; 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.