Stacy L Palicki, M.ED., LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

E-0002565 Issued in OH

Practice address

2758 N. Centennial Rd
Toledo, OH 43617-1135

Phone

(419) 842-0860

Fax

(419) 842-0861

NPI assigned

Jan 29, 2007

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

Practice roles

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.

• Witherell & Pittner, LTD.

  • Clinical Psychologist
  • Toledo, OH
  • NPI 1780636985
  NPD (past)

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336285576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 351296",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436351296",
            "telephone_number": "419-842-0860",
            "fax_number": "419-842-0861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2758 N. CENTENNIAL RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436171135",
            "telephone_number": "419-842-0860",
            "fax_number": "419-842-0861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALICKI",
        "first_name": "STACY",
        "middle_name": "L",
        "credential": "M.ED., LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E-0002565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Palenske, CDCA
• Gina Paletta, PHARM.D.
• Brooke Marie Palicki, BA, RN, MSN, PMHNP
• Jessica Palicki
• Rachel Palicki, APRN
• Cheri Foley Palko, LPC
• Michael J Palma, MD
• Beverly A Palmer, LPN
• Ciara Palmer, LPN
• Elizabeth J Palmer

• Mental Health Counselor in Toledo, OH
• Providers in Toledo, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.