Stacy Bortey

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

93474 Issued in TX

Practice address

11500 TX -121
510
Frisco, TX 75035

Phone

(469) 200-4093

NPI assigned

May 22, 2024

Last updated

May 22, 2024By the provider in NPPES

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 TX

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, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nazimuddin Mohammed MD PAGroup PAC ID 4284995051, 37 clinicians

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nazimuddin Mohammed MD PA

  dba Compassionate Psychiatric Services

  • Neurology Physician
  • Frisco, TX
  • NPI 1710495569
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1716336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1619716321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11500 TX-121",
            "address_2": "510",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "75035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11500 TX -121",
            "address_2": "510",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "75035",
            "telephone_number": "469-200-4093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORTEY",
        "first_name": "STACY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-22",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "93474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerry Blake Bolin, M.D.
• Nooshin Bolor, PHARMD
• Danika Booker
• Boomer House Calls PLLC
• Andrew M Borel, DDS
• Kaitlyn Bottolfson
• Christine Boudreau, LPC
• Angela D Bourne, PT
• Chantal Marie Bousquet, LMSW
• Leah Bowen, LPC

• Professional Counselor in Frisco, TX
• Providers in Frisco, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; 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.