Active NPI
Stacy Terrell, LPC
- Professional Counselor
- Lubbock, TX
National Provider Identifier
1548660541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 64111
- Practice address
- 8008 Slide Rd Ste 24
Lubbock, TX 79424-2828 - Phone
- (817) 437-6900
- Fax
- (806) 698-8378
- NPI assigned
- Aug 26, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 64111 | TX | Primary |
Addresses
Primary practice location
8008 Slide Rd Ste 24
Lubbock, TX 79424-2828
Mailing address
8008 Slide Rd Ste 24
Lubbock, TX 79424-2828
Phone (817) 437-6900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64111 | Other | TX | LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64111 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409011200000",
"number": "1548660541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8008 SLIDE RD STE 24",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794242828",
"telephone_number": "817-437-6900",
"fax_number": "806-698-8378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8008 SLIDE RD STE 24",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794242828",
"telephone_number": "817-437-6900",
"fax_number": "806-698-8378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TERRELL",
"first_name": "STACY",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-26",
"last_updated": "2014-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "64111",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "64111",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.