Individual provider Active NPI

Stacey Lee Hill

  • Marriage & Family Therapist
  • Raleigh, NC
National Provider Identifier
1578091179
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
12069A Issued in NC
Practice address
3000 Highwoods Blvd
Raleigh, NC 27604-1027
Phone
(919) 532-7599
NPI assigned
May 25, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 12069A NC
Behavior TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 106S00000X
Marriage & Family Therapist 106H00000X 12069A NC Primary

Addresses

Primary practice location

3000 Highwoods Blvd
Raleigh, NC 27604-1027

Mailing address

3000 Highwoods Blvd Ste 310
Raleigh, NC 27604-1029
Phone (919) 714-7500

Other practice location 1

5816 Creedmoor Rd Ste 104
Raleigh, NC 27612-2310
Phone (919) 665-4673

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20250414003066 NC Practitioner - Marriage and Family Therapist 4082138862 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2054NCMDAddiction (Substance Use Disorder) Counselor
12069ANCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
ABA Children Services LLC Behavior Technician CurrentSince Jan 13, 2025 Accepting new patients
Hope Services, LLC Past Accepting new patients
Hope Services, LLC Multi-Specialty PastSince Sep 13, 2015 Accepting new patients
Bddy NC LLC Past Accepting new patients

Locations

324 S Wilmington St
Raleigh, NC 27601
Phone (516) 376-2055

1820 Avenue M
Brooklyn, NY 11230
Phone (888) 768-0077

Organizations & group practices 4

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": "1495670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1578091179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 HIGHWOODS BLVD STE 310",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276041029",
            "telephone_number": "919-714-7500",
            "fax_number": "919-714-7513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 HIGHWOODS BLVD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276041027",
            "telephone_number": "919-532-7599"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5816 Creedmoor Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276122310",
            "country_code": "US",
            "telephone_number": "919-665-4673",
            "fax_number": "919-882-8348",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HILL",
        "first_name": "STACEY",
        "middle_name": "LEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "12069A",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "12069A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.