Stacia Crista Carr, LCPC, RPT-S

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LCPC-3456 Issued in ID

Practice address

560 W Canfield Ave
Ste 300
Coeur D Alene, ID 83815-7950

Phone

(208) 758-7111

NPI assigned

Oct 19, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Stacia C Carr Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Conceptual Counseling LLC

  • Clinical Social Worker
  • Coeur D Alene, ID
  • NPI 1245882828
  NPD (past)
• Empowered Through Play LLC

  • Mental Health Counselor
  • Coeur D Alene, ID
  • NPI 1033588207
  NPD (past)

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1396827234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 W CANFIELD AVE STE 300",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838157953",
            "telephone_number": "208-758-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 W CANFIELD AVE",
            "address_2": "STE 300",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838157950",
            "telephone_number": "208-758-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR",
        "first_name": "STACIA",
        "middle_name": "CRISTA",
        "name_prefix": "Ms.",
        "credential": "LCPC, RPT-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "LCPC-3456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACIA",
            "last_name": "CARR",
            "middle_name": "C",
            "credential": "LCPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ruben Carmona
• Jennifer Carmouche-Estrada
• Nancy Lyn Carpenter, RD
• Cassandra Lane Carr, NMD
• Jennifer Carr, PHARMD
• James Carroll
• Kristian Leigh Carson
• Emily Ann Carter
• Heather Carter
• Laura Elaine Cartwright, LCSW

• Professional Counselor in Coeur D Alene, ID
• Providers in Coeur D Alene, ID by specialty
• Professional Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.

Verify at the official NPI Registry.