Stacy Bain, LPC
Individual provider Active NPI Professional Counselor · Wichita, KS
NPI 1336026046 · NPPES record last updated Sep 23, 2025
Key facts
- NPI
- 1336026046
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 05129-T (KS)
- Practice address
- 889 N Maize Rd Ste 100
Wichita, KS 67212-4559 - Phone
- (316) 202-2110
- NPI assigned
- Aug 18, 2025
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05129-T | KS | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Level LLC | Professional | Current |
Accepting new patients |
Locations
889 N Maize Rd
Ste 100
Wichita, KS 67212
Phone (316) 202-2110
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 05129-T | KS | Yes |
Addresses
Primary practice location
889 N Maize Rd Ste 100
Wichita, KS 67212-4559
Mailing address
8100 E 22ND St N Ste 2100-4
Wichita, KS 67226-2330
Other providers in Wichita, KS
- Melissa Anne Bailey
- Monty Ray Bailey
- Rhashida Bailey
- Tamara Bailey
- Whitney Bailey
- Mollie Marie Baird
- Tara Baird
- Melissa Bais
- Bajaj Electrophysiology
- Matthew Ravi Bajaj
All providers in Wichita, KS · Professional Counselor in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.