Active NPI
Stacy E Golliff, MS, LPC, NCC
- Counselor
- Clarkston, MI
National Provider Identifier
1356780852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 6401013642
- Practice address
- 6548 Town Center Dr Ste D
Clarkston, MI 48346-4823 - Phone
- (248) 716-3684
- NPI assigned
- Jun 18, 2013
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 6401013642 | MI | Primary |
Addresses
Primary practice location
6548 Town Center Dr Ste D
Clarkston, MI 48346-4823
Mailing address
9852 Kings Vly
Clarkston, MI 48348-4192
Phone (260) 580-0606
Other practice location 1
3694 Clarkston Rd
Clarkston, MI 48348
Phone (248) 688-9021
Other practice location 2
31500 Schoolcraft Rd
Livonia, MI 48150-1805
Phone (734) 422-9340
Other practice location 3
888 W Big Beaver Rd Ste 1450
Troy, MI 48084-4762
Phone (248) 244-8644 ext. 124
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401013642 | MI | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660176000000",
"number": "1356780852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9852 KINGS VLY",
"city": "CLARKSTON",
"state": "MI",
"postal_code": "483484192",
"telephone_number": "260-580-0606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6548 TOWN CENTER DR STE D",
"city": "CLARKSTON",
"state": "MI",
"postal_code": "483464823",
"telephone_number": "248-716-3684"
}
],
"practiceLocations": [
{
"address_1": "3694 Clarkston Rd",
"address_purpose": "LOCATION",
"city": "Clarkston",
"state": "MI",
"postal_code": "48348",
"country_code": "US",
"telephone_number": "248-688-9021",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "31500 Schoolcraft Rd",
"address_purpose": "LOCATION",
"city": "Livonia",
"state": "MI",
"postal_code": "481501805",
"country_code": "US",
"telephone_number": "734-422-9340",
"fax_number": "734-422-9353",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "888 W Big Beaver Rd Ste 1450",
"address_purpose": "LOCATION",
"city": "Troy",
"state": "MI",
"postal_code": "480844762",
"country_code": "US",
"telephone_number": "248-244-8644 x124",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOLLIFF",
"first_name": "STACY",
"middle_name": "E",
"credential": "MS, LPC, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-18",
"last_updated": "2022-08-11",
"certification_date": "2022-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MI",
"license": "6401013642",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clarkston, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.