Stacie Renee Allphin, MS, LCDC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

9496 Issued in TX

Practice address

26411 Oak Ridge Dr
The Woodlands, TX 77380-1964

Phone

(128) 177-0777

NPI assigned

Dec 9, 2022

Last updated

Jan 29, 2023By the provider in NPPES

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

Other names 1

• Stacie Renee Gordon Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Patrick D Randolph PHD Inc

  dba Lighthouse Behavioral Health

  • Psychologist
  • Lubbock, TX
  • NPI 1740267285
  NPD (past)
• Teen and Family Services

  • Community/Behavioral Health Agency
  • Houston, TX
  • NPI 1134731391

  Addiction (Substance Use Disorder)

  NPD (past)
• Therapractic Management Systems

  • Counselor
  • Lubbock, TX
  • NPI 1144790130
  NPD (past)

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

{
    "created_epoch": "1670544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674950400000",
    "number": "1346951340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28050 BURRO SPRINGS LN",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773864229",
            "telephone_number": "281-770-7779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26411 OAK RIDGE DR",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773801964",
            "telephone_number": "128-177-0777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5147 69th St Ste D",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794241646",
            "country_code": "US",
            "telephone_number": "806-771-8808",
            "fax_number": "806-771-8809",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2323 S Voss Rd Ste 230",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770573832",
            "country_code": "US",
            "telephone_number": "281-770-7779",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLPHIN",
        "first_name": "STACIE",
        "middle_name": "RENEE",
        "credential": "MS, LCDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-09",
        "last_updated": "2023-01-29",
        "certification_date": "2023-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "9496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACIE",
            "last_name": "GORDON",
            "middle_name": "RENEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Addiction (Substance Use Disorder) Counselor in The Woodlands, TX
• Providers in The Woodlands, TX by specialty
• Addiction (Substance Use Disorder) Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2023; 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.