Individual provider Active NPI

Stacy R Markman, LPCMH, NCC

  • Professional Counselor
  • Newark, DE
National Provider Identifier
1548535313
Registry record updated Jun 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC-0000658 Issued in DE
Practice address
1400 Peoples PLZ
Ste 204
Newark, DE 19702-5707
Phone
(302) 832-1282
Fax
(302) 832-7313
NPI assigned
Mar 13, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC-0000658 DE Primary

Addresses

Primary practice location

1400 Peoples PLZ
Ste 204
Newark, DE 19702-5707

Mailing address

12 Mallboro Dr
Newark, DE 19713-1531
Phone (302) 354-0124

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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

Enrollment IDStateProvider typePAC IDDetails
I20260515001420 DE Practitioner - Mental Health Counselor 5799261061 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allied Behavioral Health IncGroup PAC ID 0749282481, 4 clinicians

Practice addresses (Care Compare)

1400 Peoples PLZ
Suite 204
Newark, DE 19702-5708
Phone (302) 832-1282

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC-0000658DEMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Allied Behavioral Health Inc Current Accepting new patients

Locations

1400 Peoples Plz
Ste 204
Newark, DE 19702
Phone (302) 832-1282

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1331596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403136000000",
    "number": "1548535313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 MALLBORO DR",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197131531",
            "telephone_number": "302-354-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 PEOPLES PLZ",
            "address_2": "STE 204",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197025707",
            "telephone_number": "302-832-1282",
            "fax_number": "302-832-7313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKMAN",
        "first_name": "STACY",
        "middle_name": "R",
        "credential": "LPCMH, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-13",
        "last_updated": "2014-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DE",
            "license": "PC-0000658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.