Active NPI
Stacey L Head, MA, LPC,LCDC
- Professional Counselor
- Arlington, TX
National Provider Identifier
1346482593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 63059
- Practice address
- 7819 Corona CT
Arlington, TX 76002-4787 - Phone
- (512) 632-3008
- NPI assigned
- Apr 2, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 63059 | TX | Primary |
Addresses
Primary practice location
7819 Corona CT
Arlington, TX 76002-4787
Mailing address
7819 Corona CT
Arlington, TX 76002-4787
Phone (512) 632-9244
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200818701 | Medicaid | TX |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63059 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stacey Head | Professional | Past | Accepting new patients |
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": "1238630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294963200000",
"number": "1346482593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7819 CORONA CT",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760024787",
"telephone_number": "512-632-9244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7819 CORONA CT",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760024787",
"telephone_number": "512-632-3008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEAD",
"first_name": "STACEY",
"middle_name": "L",
"credential": "MA, LPC,LCDC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-04-02",
"last_updated": "2011-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "63059",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200818701",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Arlington, TX
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- Healing Tree Transportation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.