Stacy Gorman, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

STACY GORMAN, LLC

Practice address

2121 W 63Rd PL Ste 100
Sioux Falls, SD 57108-5060

Phone

(605) 940-6422

NPI assigned

Feb 28, 2013

Organization subpart

No

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

Authorized official

Name

Stacy Gorman, MS, LPC-MH, CCDCIII

Title

Counselor/Owner

Phone

(605) 940-6422

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1362009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362009600000",
    "number": "1689914525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 W 63RD PL STE 100",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571085060",
            "telephone_number": "605-940-6422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 W 63RD PL STE 100",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571085060",
            "telephone_number": "605-940-6422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STACY GORMAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-28",
        "last_updated": "2013-02-28",
        "status": "A",
        "authorized_official_last_name": "GORMAN",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "COUNSELOR/OWNER",
        "authorized_official_telephone_number": "605-940-6422",
        "authorized_official_credential": "MS, LPC-MH, CCDCIII"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1114119179",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Thomas J Stadtfeld, CRNA
• Dylan Stahly
• Zechariah Stake, LMT
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• Paul Stamp, NP-C

• Professional Counselor in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Professional Counselor in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.