Felicia Stacks, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

16453 Issued in TX

Practice address

1300 W. 16TH St.
Mount Pleasant, TX 75455

Phone

(903) 572-8783

Fax

(903) 572-6965

NPI assigned

Dec 6, 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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Texas a & M University System, HSC, College of Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Charlie Blue Therapy LLCGroup PAC ID 4385082965, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Charlie Blue Therapy LLC

  • Clinical Social Worker
  • Flower Mound, TX
  • NPI 1255106340
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1487713715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 AIRPORT RD",
            "address_2": "PO BOX 747",
            "city": "TERRELL",
            "state": "TX",
            "postal_code": "751604302",
            "telephone_number": "972-524-4159",
            "fax_number": "972-563-5321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 W. 16TH ST.",
            "city": "MOUNT PLEASANT",
            "state": "TX",
            "postal_code": "75455",
            "telephone_number": "903-572-8783",
            "fax_number": "903-572-6965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STACKS",
        "first_name": "FELICIA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "16453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE INSURANCE ID",
            "identifier": "84078L",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Smith Smith
• Valerie Ann Snyder, CRNP
• Tania Soc, CFNP
• Dominique Spigner, DSW, LCSW, NSW-C
• Beverley Jean Springstead, P.A.
• Gerald A Stagg, M.D.
• Carrie Stansell
• Cynthia Stansell, LPC
• Brittany Kay Steen, BSN, RN
• Paul D. Stone, PHARM.D., R.PH.

• Professional Counselor in Mount Pleasant, TX
• Providers in Mount Pleasant, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.