Active NPI
Stacey Lee Prillaman, LPC
- Professional Counselor
- Taylor, TX
National Provider Identifier
1376213306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 17759
- Practice address
- 1502 Sherry Dr
Taylor, TX 76574-5185 - Phone
- (512) 663-7537
- NPI assigned
- Sep 21, 2021
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 17759 | TX | Primary |
Addresses
Primary practice location
1502 Sherry Dr
Taylor, TX 76574-5185
Mailing address
1502 Sherry Dr
Taylor, TX 76574-5185
Phone (512) 663-7537
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17759 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632182400000",
"number": "1376213306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1502 SHERRY DR",
"city": "TAYLOR",
"state": "TX",
"postal_code": "765745185",
"telephone_number": "512-663-7537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1502 SHERRY DR",
"city": "TAYLOR",
"state": "TX",
"postal_code": "765745185",
"telephone_number": "512-663-7537"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRILLAMAN",
"first_name": "STACEY",
"middle_name": "LEE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-21",
"last_updated": "2021-09-21",
"certification_date": "2021-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "17759",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Taylor, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.