Stacey J. Beisel, LCPC, P.C.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

180.1004316 Issued in IL

Legal business name

STACEY J. BEISEL, LCPC, P.C.

Practice address

60 S State Route 157
Suite 18
Edwardsville, IL 62025-3846

Phone

(618) 580-5708

NPI assigned

Feb 23, 2011

Organization subpart

No

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

Authorized official

Name

Stacey J Beisel, MSNPI 1861628679

Title

Licensed Clinical Professional Coun

Phone

(618) 580-5708

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stacey Jean Beisel, LCPC

  • Mental Health Counselor
  • Edwardsville, IL
  • NPI 1861628679
  NPD (past) Authorized official

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

{
    "created_epoch": "1298419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452211200000",
    "number": "1356648539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 S STATE ROUTE 157",
            "address_2": "SUITE 18",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620253846",
            "telephone_number": "618-580-5708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 S STATE ROUTE 157",
            "address_2": "SUITE 18",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620253846",
            "telephone_number": "618-580-5708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STACEY J. BEISEL, LCPC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-23",
        "last_updated": "2016-01-08",
        "status": "A",
        "authorized_official_last_name": "BEISEL",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "LICENSED CLINICAL PROFESSIONAL COUN",
        "authorized_official_telephone_number": "618-580-5708",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.1004316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynette Kathleen Sproull, CCC-SLP
• Melanie Spung
• St. John'S Healing Community Board
• St. Marys Health Care Center Investors LLC
• St. Marys Health Care Center Investors LLC
• Staci R Young MD PC
• Molly June Stacks, OD
• Lindsey Nichole Staff
• Kristin Michelle Stahlheber, DVM
• Nicole Lynne Stankevitz

• Mental Health Counselor in Edwardsville, IL
• Providers in Edwardsville, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2016; 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.