Individual provider Active NPI

Stacey Rae Froelich, MA LMHC NCC

  • Mental Health Counselor
  • Mount Vernon, WA
National Provider Identifier
1346523677
Registry record updated Aug 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60476190 Issued in WA
Practice address
317 S 2ND St Ste 128
Mount Vernon, WA 98273
Phone
(360) 966-6161
Fax
(360) 246-1072
NPI assigned
Sep 22, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH60476190 WA Primary

Addresses

Primary practice location

317 S 2ND St Ste 128
Mount Vernon, WA 98273

Mailing address

317 S 2ND St Ste 128
Mount Vernon, WA 98273-3814
Phone (360) 966-6161

Other practice location 1

406 S 1st St
Suite 201
Mount Vernon, WA 98273-3801
Phone (360) 966-6161

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

LicenseStateTypeSpecialty
LH60476190WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1316649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534982400000",
    "number": "1346523677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 S 2ND ST STE 128",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982733814",
            "telephone_number": "360-966-6161",
            "fax_number": "360-462-1072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 S 2ND ST STE 128",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "98273",
            "telephone_number": "360-966-6161",
            "fax_number": "360-246-1072"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "406 S 1st St",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Mount Vernon",
            "state": "WA",
            "postal_code": "982733801",
            "country_code": "US",
            "telephone_number": "360-966-6161",
            "fax_number": "360-336-3270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FROELICH",
        "first_name": "STACEY",
        "middle_name": "RAE",
        "credential": "MA LMHC NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-22",
        "last_updated": "2018-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60476190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2018; 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.