Active NPI
Stacy Lynn Conley, LPC
- Professional Counselor
- Jefferson City, MO
National Provider Identifier
1356809297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 1432 Southwest Blvd
Jefferson City, MO 65109-2444 - Phone
- (573) 632-5560
- NPI assigned
- Mar 11, 2019
- Sex
- Female
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
1432 Southwest Blvd
Jefferson City, MO 65109-2444
Mailing address
2590 N Lake Dr
Holts Summit, MO 65043-2539
Phone (573) 230-7809
Other practice location 1
500 Market St
Fulton, MO 65251-2808
Phone (573) 642-0087
Other names 1
- Stacy Stegeman
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626652800000",
"number": "1356809297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2590 N LAKE DR",
"city": "HOLTS SUMMIT",
"state": "MO",
"postal_code": "650432539",
"telephone_number": "573-230-7809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1432 SOUTHWEST BLVD",
"city": "JEFFERSON CITY",
"state": "MO",
"postal_code": "651092444",
"telephone_number": "573-632-5560"
}
],
"practiceLocations": [
{
"address_1": "500 Market St",
"address_purpose": "LOCATION",
"city": "Fulton",
"state": "MO",
"postal_code": "652512808",
"country_code": "US",
"telephone_number": "573-642-0087",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CONLEY",
"first_name": "STACY",
"middle_name": "LYNN",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-11",
"last_updated": "2021-07-19",
"certification_date": "2021-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STACY",
"last_name": "STEGEMAN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Jefferson City, MO
- Community Health Ctr of Central Missouri (Community Health Center of Central Missouri-Christy Drive)
- Community Hospices of America LLC (Hospice Compassus - Central Missouri)
- Community Hospices of America, LLC (Hospice Compassus - Central Missouri)
- Comprehensive Pharmaceutical Services, Inc. (G.L.O. and Associates)
- Brian Conley, M.D.
- Breanna Connor
- Benjamin Robert Cook, DO
- Lauren Platt Cook, M.D.
- Aaron Cooper, PHARM.D.
- Denise Leslie Cooper, CRNA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.