Stacy Renae Knight, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH61123477 Issued in WA

Practice address

600 Lakeway Dr
Bellingham, WA 98225-5236

Phone

(360) 676-6749

Fax

(360) 738-2451

NPI assigned

Jun 26, 2018

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 names 1

• Stacy Renae Ippolito Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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.

• Northwest Regional Council

  • Community/Behavioral Health Agency
  • Bellingham, WA
  • NPI 1093284374
  NPD (past)
• Northwest Regional Council

  • Transportation Broker
  • Bellingham, WA
  • NPI 1609179175
  NPD (past)

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

{
    "created_epoch": "1529971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1548755028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 LAKEWAY DR",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982255236",
            "telephone_number": "360-676-6749",
            "fax_number": "360-738-2451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 LAKEWAY DR",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982255236",
            "telephone_number": "360-676-6749",
            "fax_number": "360-738-2451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIGHT",
        "first_name": "STACY",
        "middle_name": "RENAE",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-26",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61123477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACY",
            "last_name": "IPPOLITO",
            "middle_name": "RENAE",
            "credential": "MA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cassandra Lee Knight, EAMP
• Dale Alexander Knight, L.AC.
• Mary Knight, MSW,LICSW
• Rebecca Anne Knight, CNM
• Ryan Knight
• Kristi M Knipp, M.A., LMHC
• Mackensie Knobbe
• David Joseph Knoll, DPT
• Gail G Knops, M.D.
• Joost Lawrence Knops, M.D.

• Mental Health Counselor in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; 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.