Active NPI
Stacie L Brown, LPC, CCTP
- Professional Counselor
- Prescott Valley, AZ
National Provider Identifier
1568010080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 2820 N Lynx Lake Dr
Prescott Valley, AZ 86314-2541 - Phone
- (602) 663-1491
- NPI assigned
- Aug 28, 2019
- Last updated
- Aug 28, 2019
- 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 | Primary |
Addresses
Primary practice location
2820 N Lynx Lake Dr
Prescott Valley, AZ 86314-2541
Mailing address
410 Stacey Dr
Chino Valley, AZ 86323-6497
Phone (602) 663-1491
Other practice location 1
410 Stacey Dr Ste 1
Chino Valley, AZ 86323-6497
Phone (602) 663-1491
Other practice location 2
2820 Lynx Lake Dr
Prescott, AZ 86301
Phone (602) 663-1491
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chino Valley Bible Church | Current | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Voluntary or Charitable Agency
- Chino Valley, AZ
- NPI 1871288704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566950400000",
"number": "1568010080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 STACEY DR",
"city": "CHINO VALLEY",
"state": "AZ",
"postal_code": "863236497",
"telephone_number": "602-663-1491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2820 N LYNX LAKE DR",
"city": "PRESCOTT VALLEY",
"state": "AZ",
"postal_code": "863142541",
"telephone_number": "602-663-1491"
}
],
"practiceLocations": [
{
"address_1": "410 Stacey Dr Ste 1",
"address_purpose": "LOCATION",
"city": "Chino Valley",
"state": "AZ",
"postal_code": "863236497",
"country_code": "US",
"telephone_number": "602-663-1491",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2820 Lynx Lake Dr",
"address_purpose": "LOCATION",
"city": "Prescott",
"state": "AZ",
"postal_code": "86301",
"country_code": "US",
"telephone_number": "602-663-1491",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROWN",
"first_name": "STACIE",
"middle_name": "L",
"credential": "LPC, CCTP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-28",
"last_updated": "2019-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prescott Valley, AZ
- Brighter Heights Arizona, LLC Dba Ocotillo Ranch
- Brighter Heights Arizona, LLC Dba Prescott House
- Brighter Heights Arizona, LLC Dba Transitions
- Courtney Anne Brimm, M.S., SLP
- Brio Arizona Home Health, LLC (The Pines Home Health)
- Julia Ann Bruce
- Mariha D Bryant, LMT
- Jonathan Park Buckwalter, FNP-C
- David Sidney Burgoyne II, M.D.
- Burning Rubber LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.