Individual provider Active NPI

Stacie Acox

  • Mental Health Counselor
  • Council Bluffs, IA
National Provider Identifier
1639649882
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
093919 Issued in IA
Practice address
2912 9TH Ave
Council Bluffs, IA 51501-5880
Phone
(712) 325-1331
NPI assigned
Nov 30, 2018
Last updated
Mar 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 093919 IA
Mental Health Counselor 101YM0800X 093919 IA Primary

Addresses

Primary practice location

2912 9TH Ave
Council Bluffs, IA 51501-5880

Mailing address

905 Spruce St
Council Bluffs, IA 51501-5831

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20231127001005 IA Practitioner - Mental Health Counselor 8123476561 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
All Care Health CenterGroup PAC ID 0547241390, 19 clinicians

Practice addresses (Care Compare)

902 S 6TH St
Council Bluffs, IA 51501-6441

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
093919IAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
All Care Health Center CurrentSince Jan 1, 2024 Accepting new patients
All Care Health Center CurrentSince Jan 1, 2024 Accepting new patients
Heartland Family Service Counselor PastSince Dec 15, 2019 Accepting new patients
Heartland Family Service Past Accepting new patients

Locations

1415 Avenue J
Ste 2
Council Bluffs, IA 51501
Phone (712) 325-1990

1435 N 15th St
Council Bluffs, IA 51501
Phone (712) 322-7570

902 S 6th St
Council Bluffs, IA 51501
Phone (712) 256-6583

902 S 6th St
Rm A
Council Bluffs, IA 51501

Interoperability endpoints

  • FHIR API: https://webprd.ochin.org/prd-fhir/allcarehealthcenter/api/FHIR/R4

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

NPI Registry JSON

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

{
    "created_epoch": "1543536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1639649882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 SPRUCE ST",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515015831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2912 9TH AVE",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515015880",
            "telephone_number": "712-325-1331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACOX",
        "first_name": "STACIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-30",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IA",
            "license": "093919",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "093919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Council Bluffs, IA

Sources for this page

Verify at the official NPI Registry.