Staci Alys Waites, M.ED.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

152 Highway 7 S
Oxford, MS 38655-5392

Phone

(662) 234-7521

NPI assigned

Sep 18, 2012

Last updated

Feb 10, 2016By 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

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Education

Practice roles

Locations

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.

• North Mississippi Commission on Mental Illness/Mental Retardation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Oxford, MS
  • NPI 1558468694
  Medicare reassignment NPD
• North Mississippi Commission on Mental Illness/Mental Retardation

  dba Communicare

  • Primary Care Clinic/Center
  • Oxford, MS
  • NPI 1376208173
  NPD

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

{
    "created_epoch": "1347926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455062400000",
    "number": "1366792244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5617 COUNTY ROAD 118",
            "city": "WATER VALLEY",
            "state": "MS",
            "postal_code": "389654232",
            "telephone_number": "662-230-1843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 HIGHWAY 7 S",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555392",
            "telephone_number": "662-234-7521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAITES",
        "first_name": "STACI",
        "middle_name": "ALYS",
        "name_prefix": "Mrs.",
        "credential": "M.ED.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-18",
        "last_updated": "2016-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Lela Valentine Vonder Haar, PA
• Virginia Allyn Wachter, APRN
• Charles Robert Wade, D.C.
• Jennifer Edington Wade, APRN, BC
• Kimberly D Wadley, M.S.
• Cynthia Ellen Waits, LPC
• Wal-Mart Stores East LP (Walmart Pharmacy 10-0699)
• Wal-Mart Stores, Inc. (Vision Center 30-0699)
• Walgreen Co (Walgreens #07757)
• Carah L Walker, NURSE PRACTITIONER

• Professional Counselor in Oxford, MS
• Providers in Oxford, MS by specialty
• Professional Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.