Individual provider Active NPI

Michael Stephen Stagar IV, LPC-S, LCDC

  • Professional Counselor
  • Killeen, TX
National Provider Identifier
1366908188
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
76862 Issued in TX
Practice address
1519 Florence Rd Ste 5
Killeen, TX 76541-7904
Phone
(254) 300-7798
Fax
(254) 300-9938
NPI assigned
Feb 17, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 13965 TX
Mental Health Counselor 101YM0800X 76862 TX
Professional Counselor 101YP2500X 76862 TX Primary

Addresses

Primary practice location

1519 Florence Rd Ste 5
Killeen, TX 76541-7904

Mailing address

1519 Florence Rd Ste 5
Killeen, TX 76541-7904
Phone (254) 300-7798

Other names 1

  • Mr. Michael Stephen Stagar IV Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241114001248 TX Practitioner - Mental Health Counselor 9234663170 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gardner Industries LLCGroup PAC ID 2163873340, 8 clinicians

Practice addresses (Care Compare)

1519 Florence Rd
Suite 5
Killeen, TX 76541-7904
Phone (254) 300-7798

331 Indian TRL
Suite 109
Harker Heights, TX 76548-7201
Phone (254) 300-7798

Hospital & facility affiliations

  • Adventhealth Central Texas Hospital, Killeen, TX, CCN 450152

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13965TXMDAddiction (Substance Use Disorder) Counselor
76862TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Gardner Industries, LLC CurrentSince Sep 24, 2025 Accepting new patients
Butterflies Prospering Wellness Co. Professional Past Accepting new patients

Locations

331 Indian Trl
Ste 109
Harker Heights, TX 76548
Phone (254) 300-7798

1519 Florence Rd
Ste 5
Killeen, TX 76541
Phone (254) 220-0671

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1550361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1366908188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1519 FLORENCE RD STE 5",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765417904",
            "telephone_number": "254-300-7798",
            "fax_number": "254-300-9938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519 FLORENCE RD STE 5",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765417904",
            "telephone_number": "254-300-7798",
            "fax_number": "254-300-9938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAGAR",
        "first_name": "MICHAEL",
        "middle_name": "STEPHEN",
        "name_prefix": "Mr.",
        "name_suffix": "IV",
        "credential": "LPC-S, LCDC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-17",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "13965",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "76862",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "76862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAEL",
            "last_name": "STAGAR",
            "middle_name": "STEPHEN",
            "prefix": "MR.",
            "suffix": "IV",
            "credential": "LPC-S, LCDC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Killeen, TX

Sources for this page

Verify at the official NPI Registry.