Stacey K Marchino, MA, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

1989 Issued in OK

Practice address

10620 NW 39TH St
Yukon, OK 73099-6000

Phone

(405) 323-2868

NPI assigned

Oct 6, 2010

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

Medicare fee-for-service enrollment

Enrolled in OK

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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.

• Integris Ambulatory Care Corporation

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1750333936
  Medicare reassignment NPD

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

{
    "created_epoch": "1286323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286323200000",
    "number": "1609185776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10620 NW 39TH ST",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730996000",
            "telephone_number": "405-323-2868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10620 NW 39TH ST",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730996000",
            "telephone_number": "405-323-2868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCHINO",
        "first_name": "STACEY",
        "middle_name": "K",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-06",
        "last_updated": "2010-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "1989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebekah Mani, LMSW
• Mark Blaine Mann, M.D.
• Grace Manning
• Baleigh Mansfield
• Marce' C Hotz Ms CCC-SLP, PC, Inc
• Stephanee Grace Markee-Becerra
• Marlo a. Miller DDS, Ms
• Caleigh Martin
• Cheri Martin
• Rodney G Martin, RPTA

• Professional Counselor in Yukon, OK
• Providers in Yukon, OK by specialty
• Professional Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.