Stacie Ann Townsend, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC13574 Issued in AZ

Practice address

15036 N 28TH Ave
Phoenix, AZ 85053-4912

Phone

(602) 931-6373

Fax

(480) 794-1684

NPI assigned

Jan 15, 2013

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

Other names 1

• Stacie Ann Nottelmann Former name

Medicare fee-for-service enrollment

Enrolled in AZ

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, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dynamic Counseling and Coaching Solutions, LLCGroup PAC ID 0446694756, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Dynamic Counseling and Coaching Solutions, LLC

  • Professional Counselor
  • Phoenix, AZ
  • NPI 1417470287
  Medicare reassignment Care Compare group NPD
• Freedom Within Child Adolescent and Family Psychiatry LLC

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Helena, MT
  • NPI 1801666565
  NPD (past)

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

{
    "created_epoch": "1358208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358208000000",
    "number": "1467799015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15036 N 28TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850534912",
            "telephone_number": "602-931-6373",
            "fax_number": "480-794-1684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15036 N 28TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850534912",
            "telephone_number": "602-931-6373",
            "fax_number": "480-794-1684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOWNSEND",
        "first_name": "STACIE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-15",
        "last_updated": "2013-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC13574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACIE",
            "last_name": "NOTTELMANN",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Liam Townley
• David K Towns, MD
• Essence A Townsend
• Glenn Philip Townsend, NP-C
• Nichole Townsend, MD
• Tracie Towosn
• Toyos Chiropractic
• Peter J. Toyos, D.C.
• TP Deer Valley Operations, LLC
• TPS Associates PLLC

• Professional Counselor in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Professional Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; 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.