Stacey Teal, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC015759 Issued in GA

Practice address

126 Enterprise Path Ste 201
Hiram, GA 30141-2654

Phone

(678) 567-0920

NPI assigned

May 23, 2025

Last updated

May 23, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Highland Rivers Community Service BoardGroup PAC ID 9032000245, 57 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Highland Rivers Community Service Board

  • Community/Behavioral Health Agency
  • Dalton, GA
  • NPI 1447256243
  Medicare reassignment Care Compare group NPD
• Mental Health Specialty Group PA

  dba Rula Health

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634

  GA, Professional

  Medicare reassignment NPD
• Highland Rivers CSB

  dba Highland Rivers Whitfield Treatment Services

  • Community/Behavioral Health Agency
  • Dalton, GA
  • NPI 1164585543
  NPD
• Highland Rivers CSB

  dba Highland Rivers Bartow Office

  • Community/Behavioral Health Agency
  • Cartersville, GA
  • NPI 1740343300
  NPD

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

{
    "created_epoch": "1747958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747958400000",
    "number": "1447043302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 BRIDGE BROOK CT",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301571242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 ENTERPRISE PATH STE 201",
            "city": "HIRAM",
            "state": "GA",
            "postal_code": "301412654",
            "telephone_number": "678-567-0920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEAL",
        "first_name": "STACEY",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-23",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC015759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Coryell Tanner, PT
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• Tawana Tarbeart
• Peyton Taylor, OD
• Tee's Hair Salon
• Sara Hunlock Temple, APRN
• Alex J Tenhundfeld, D.C.
• Olivia Terrell, PT, DPT
• Andrea Janel Thames-Allen, MD

• Professional Counselor in Hiram, GA
• Providers in Hiram, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.