Stacy Lee Knoll, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

4411 Issued in WI

Practice address

2961 Yarmouth Greenway Dr Ste 2
Fitchburg, WI 53711-5809

Phone

(608) 279-2481

NPI assigned

Jun 19, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

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

Specialty

Mental Health Counselor

Education

Other, 1999

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Stacy L Knoll Dba Mindy's Place

  dba Stacy Lee Knoll

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fitchburg, WI
  • NPI 1922869312
  Medicare reassignment NPD Authorized official
• Northstar Partnership

  dba Northstar Counseling Center

  • Mental Health Counselor
  • Madison, WI
  • NPI 1073557088
  NPD (past)

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1558306878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "791 WATER ST STE 10",
            "city": "PRAIRIE DU SAC",
            "state": "WI",
            "postal_code": "535781028",
            "telephone_number": "608-279-2481",
            "fax_number": "608-279-2481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2961 YARMOUTH GREENWAY DR STE 2",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537115809",
            "telephone_number": "608-279-2481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOLL",
        "first_name": "STACY",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-19",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "4411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40934500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia Fanelli Kiley, RN
• Bonny Kimball
• Kind Therapy, LLC
• Sara Kind-Michels, MS, LPC, LMFT
• Catherine Kirner
• Hannah Stacia Knox, OTR/L
• Anna Knutson
• Kathryn Koch
• Grace Koenig, MS
• Juliette V Koepp

• Mental Health Counselor in Fitchburg, WI
• Providers in Fitchburg, WI by specialty
• Mental Health Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.