Individual provider Active NPI

Stacye Dawn Corley Norlin, MS, LPC

  • Mental Health Counselor
  • Rockwall, TX
National Provider Identifier
1679908974
Registry record updated Sep 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
62035 Issued in TX
Practice address
661 Justin Rd
Rockwall, TX 75087-4821
Phone
(972) 342-3623
NPI assigned
Sep 6, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 62035 TX Primary

Addresses

Primary practice location

661 Justin Rd
Rockwall, TX 75087-4821

Mailing address

4765 Preston Trail Dr
Mesquite, TX 75150-1130
Phone (972) 342-3623

Other names 1

  • Mrs. Stacye Corley-Norlin Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
62035TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1378425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378425600000",
    "number": "1679908974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4765 PRESTON TRAIL DR",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751501130",
            "telephone_number": "972-342-3623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 JUSTIN RD",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750874821",
            "telephone_number": "972-342-3623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORLIN",
        "first_name": "STACYE",
        "middle_name": "DAWN CORLEY",
        "name_prefix": "Mrs.",
        "credential": "MS, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-06",
        "last_updated": "2013-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "62035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACYE",
            "last_name": "CORLEY-NORLIN",
            "prefix": "MRS.",
            "credential": "MS, LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Rockwall, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.