Individual provider Active NPI

Stacy Loftin, LPC

  • Professional Counselor
  • Brownwood, TX
National Provider Identifier
1639919459
Registry record updated Jul 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
66982 Issued in TX
Practice address
205 Center Ave
Brownwood, TX 76801-2919
Phone
(325) 649-4357
Fax
(325) 646-0919
NPI assigned
May 29, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 66982 TX Primary

Addresses

Primary practice location

205 Center Ave
Brownwood, TX 76801-2919

Mailing address

PO Box 1391
Brownwood, TX 76804-1391
Phone (325) 642-3864

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20251203000659 TX Practitioner - Mental Health Counselor 2062905607 Practice locations: Brownwood, TX

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

205 Ctr Ave
Brownwood, TX 76801-2919
Phone (325) 649-4357

PO Box
Suite 1391
Brownwood, TX 76801-2919

PO Box
Suite 1391
Brownwood, TX 76804

PO Box
Suite 1391
Brownwood, TX 76804-1391

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
66982TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pennissi P. Taylor PH.D,PC PastSince Jun 16, 2024 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1716940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1639919459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1391",
            "city": "BROWNWOOD",
            "state": "TX",
            "postal_code": "768041391",
            "telephone_number": "325-642-3864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 CENTER AVE",
            "city": "BROWNWOOD",
            "state": "TX",
            "postal_code": "768012919",
            "telephone_number": "325-649-4357",
            "fax_number": "325-646-0919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOFTIN",
        "first_name": "STACY",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-29",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "66982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownwood, TX

Sources for this page

Verify at the official NPI Registry.