Chasiti Stakelin, LPCC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

274604 Issued in KY

Practice address

1690 Ring Rd Ste 130
Elizabethtown, KY 42701-4431

Phone

(502) 596-1389

NPI assigned

Jan 16, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1547596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1508330242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1690 RING RD STE 130",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427014431",
            "telephone_number": "502-596-1389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1690 RING RD STE 130",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427014431",
            "telephone_number": "502-596-1389"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "203A Fairgrounds Rd",
            "address_purpose": "LOCATION",
            "city": "Hardinsburg",
            "state": "KY",
            "postal_code": "401432585",
            "country_code": "US",
            "telephone_number": "270-580-7253",
            "fax_number": "270-580-7290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAKELIN",
        "first_name": "CHASITI",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-16",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "KY",
            "license": "174456",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "KY",
            "license": "274604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candice N. Speiden
• Lauren Spencer
• Rebecca Spicer, NP
• Lisa Nan Springer, ARNP
• Hannah Susan St. Clair, LPCC;NCAC;CADC
• Jessica Starcher, LPCA
• Collette Vikay Starks, LCSW,CADC
• Tammy Starr, LPCC
• States of Mind
• Miranda Stauffer, APRN

• Counselor in Elizabethtown, KY
• Providers in Elizabethtown, KY by specialty
• Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2022; 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.