Stacy Jolynn Salem, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2149 Issued in KS

Practice address

2101 US Highway 50 Byp
Dodge City, KS 67801-2230

Phone

(620) 227-8566

Fax

(620) 225-8566

NPI assigned

Apr 19, 2010

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Compass Behavioral Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Garden City, KS
  • NPI 1922058510
  NPD (past)

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

{
    "created_epoch": "1271635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271635200000",
    "number": "1497071278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 US HIGHWAY 50 BYP",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678012230",
            "telephone_number": "620-227-8566",
            "fax_number": "620-225-8566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 US HIGHWAY 50 BYP",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678012230",
            "telephone_number": "620-227-8566",
            "fax_number": "620-225-8566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALEM",
        "first_name": "STACY",
        "middle_name": "JOLYNN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-19",
        "last_updated": "2010-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KS",
            "license": "2149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Kay Rodda
• Hugo Rodela, APRN
• Richard L Roenfeldt, OD
• Michael N Rooney, DO
• Darrell Gene Roths Jr., CPTA
• Sheree Salve, PT
• Juanita L Sanchez, LSCSW
• Rakhi D Save, PT
• Mary J Schaffer, ARNP
• Debra Annette Schartz-Robinson, LSCSW

• Professional Counselor in Dodge City, KS
• Providers in Dodge City, KS by specialty
• Professional Counselor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2010; 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.