Individual provider Active NPI

Stacy Rose Stearns, L.C.P.C.

  • Mental Health Counselor
  • Forest Hill, MD
National Provider Identifier
1407928476
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LC2303 Issued in MD
Practice address
2018 Rock Spring Rd
A-6
Forest Hill, MD 21050-2631
Phone
(410) 838-2493
Fax
(410) 838-2597
NPI assigned
Nov 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LC2303 MD Primary

Addresses

Primary practice location

2018 Rock Spring Rd
A-6
Forest Hill, MD 21050-2631

Mailing address

2018 Rock Spring Rd
A-6
Forest Hill, MD 21050-2631
Phone (410) 838-2493

Other names 1

  • Miss Stacy Michele Rose Former name

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

LicenseStateTypeSpecialty
LC2303MDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Family and Couple Therapy Services, Inc. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407928476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2018 ROCK SPRING RD",
            "address_2": "A-6",
            "city": "FOREST HILL",
            "state": "MD",
            "postal_code": "210502631",
            "telephone_number": "410-838-2493",
            "fax_number": "410-838-2597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2018 ROCK SPRING RD",
            "address_2": "A-6",
            "city": "FOREST HILL",
            "state": "MD",
            "postal_code": "210502631",
            "telephone_number": "410-838-2493",
            "fax_number": "410-838-2597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEARNS",
        "first_name": "STACY",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "L.C.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC2303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACY",
            "last_name": "ROSE",
            "middle_name": "MICHELE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Forest Hill, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.