Active NPI
Jamie Stacy
- Counselor
- Oxford, MS
National Provider Identifier
1376476135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- P-1579
- Practice address
- 1204 Office Park Dr Ste D
Oxford, MS 38655-3597 - Phone
- (601) 380-5110
- NPI assigned
- Jun 3, 2026
- 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 | P-1579 | MS | Primary |
Addresses
Primary practice location
1204 Office Park Dr Ste D
Oxford, MS 38655-3597
Mailing address
117 Northpointe Dr
Oxford, MS 38655-7713
Phone (601) 624-4680
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 |
|---|---|---|---|
| P-1579 | MS | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780444800000",
"number": "1376476135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 NORTHPOINTE DR",
"city": "OXFORD",
"state": "MS",
"postal_code": "386557713",
"telephone_number": "601-624-4680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1204 OFFICE PARK DR STE D",
"city": "OXFORD",
"state": "MS",
"postal_code": "386553597",
"telephone_number": "601-380-5110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STACY",
"first_name": "JAMIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-06-03",
"last_updated": "2026-06-03",
"certification_date": "2026-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MS",
"license": "P-1579",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oxford, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.