Active NPI
Staci Short
- Professional Counselor
- La Place, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC3219
- Practice address
- 576 Belle Terre Blvd
La Place, LA 70068-1715 - Phone
- (504) 493-2271
- NPI assigned
- Dec 22, 2014
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFT 1096 | LA | |
| Professional Counselor | 101YP2500X | LPC3219 | LA | Primary |
| School Counselor | 101YS0200X | MFT 1096 | LA | |
| Mental Health Counselor | 101YM0800X | MFT 1096 | LA | |
| Professional Counselor | 101YP2500X | MFT 1096 | LA |
Addresses
Primary practice location
576 Belle Terre Blvd
La Place, LA 70068-1715
Mailing address
1769 Boulevard de Province Apt E
Baton Rouge, LA 70816-8618
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47-2598992 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC3219 | LA | MD | Professional Counselor |
| MFT 1096 | LA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary Care Providers for a Healthy Feliciana, Inc | Current | Accepting new patients | |
| Primary Care Providers for a Healthy Feliciana Inc | Current | Accepting new patients | |
| Primary Care Providers for a Healthy Feliciana, Inc. | Current | Accepting new patients | |
| Primary Care Providers for a Healthy Feliciana, Inc | Past | Accepting new patients | |
| Primary Care Providers for a Healthy Feliciana, Inc | Past | Accepting new patients | |
| Primary Care Providers for a Healthy Feliciana Inc | Past | Accepting new patients | |
| Cognitive Development Center of Baton Rouge | Past | Accepting new patients | |
| Primary Care Providers for a Healthy Feliciana Inc | Past | Accepting new patients | |
| Primary Care Providers for a Healthy Feliciana, Inc. | Past | Accepting new patients | |
| Primary Care Providers for a Healthy Feliciana, Inc | Past | Accepting new patients |
Locations
455 E Airport Ave
Baton Rouge, LA 70806
Phone (225) 683-1320
10410 Plank Rd
Clinton, LA 70722
Phone (225) 683-8877
11990 Jackson St
Clinton, LA 70722
Phone (225) 570-6111
28315 S Frost Rd
Livingston, LA 70754
Phone (225) 283-1356
54016 Highway 1062
Loranger, LA 70446
Phone (985) 606-9000
3553 Rosedale Rd
Port Allen, LA 70767
Phone (225) 234-0227
Interoperability endpoints
- staci.short.p1@direct.rkmprimarycare.nextgenshare.com
Organizations & group practices 10
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.
-
dba Clinton Lower Health Center
- Federally Qualified Health Center (FQHC)
- Clinton, LA
- NPI 1821245127
-
dba Slaughter Health Center
- Federally Qualified Health Center (FQHC)
- Slaughter, LA
- NPI 1467608729
-
dba RKM at Springfield Elementary
- Federally Qualified Health Center (FQHC)
- Springfield, LA
- NPI 1326923384
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Baton Rouge, LA
- NPI 1467745000
-
dba RKM Primary Care
- Federally Qualified Health Center (FQHC)
- Clinton, LA
- NPI 1699878645
-
dba RKM Primary Care Livingston
- Federally Qualified Health Center (FQHC)
- Livingston, LA
- NPI 1861823379
-
dba RKM Loranger
- Federally Qualified Health Center (FQHC)
- Loranger, LA
- NPI 1710427455
-
dba WBR Primary Care
- Federally Qualified Health Center (FQHC)
- Port Allen, LA
- NPI 1770760902
-
dba Clinton Middle Health Center
- Federally Qualified Health Center (FQHC)
- Clinton, LA
- NPI 1871692483
-
dba Jackson Complex Health Center
- Federally Qualified Health Center (FQHC)
- Jackson, LA
- NPI 1437258043
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1419206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781481600000",
"number": "1376931501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1769 BOULEVARD DE PROVINCE APT E",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708168618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "576 BELLE TERRE BLVD",
"city": "LA PLACE",
"state": "LA",
"postal_code": "700681715",
"telephone_number": "504-493-2271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHORT",
"first_name": "STACI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-12-22",
"last_updated": "2026-06-15",
"certification_date": "2026-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "LA",
"license": "MFT 1096",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "LA",
"license": "LPC3219",
"primary": true
},
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "LA",
"license": "MFT 1096",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "LA",
"license": "MFT 1096",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "LA",
"license": "MFT 1096",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47-2598992",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in La Place, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; 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.