Active NPI
Stacey Baughman, LPC
- Professional Counselor
- Surprise, AZ
National Provider Identifier
1689970709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC-13316
- Practice address
- 18789 N Reems Rd Ste 260H
Surprise, AZ 85374-8648 - Phone
- (623) 910-3371
- Fax
- (877) 244-9683
- NPI assigned
- Feb 7, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC-13316 | AZ | Primary |
Addresses
Primary practice location
18789 N Reems Rd Ste 260H
Surprise, AZ 85374-8648
Mailing address
18789 N Reems Rd Ste 260H
Surprise, AZ 85374-8648
Phone (623) 910-3371
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jan 18, 2024 through Jan 18, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-13316 | AZ | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729468800000",
"number": "1689970709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18789 N REEMS RD STE 260H",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853748648",
"telephone_number": "623-910-3371",
"fax_number": "877-244-9683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18789 N REEMS RD STE 260H",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853748648",
"telephone_number": "623-910-3371",
"fax_number": "877-244-9683"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUGHMAN",
"first_name": "STACEY",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-02-07",
"last_updated": "2024-10-21",
"certification_date": "2024-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "LPC-13316",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Surprise, AZ
- Miranda Blaize Battle, MS, LAC, CTP
- Anastasia Battles, RDN
- Batwatch Medical Group, LLC (BATWatch Medical Group)
- Batwatch of Arizona PC (BATWatch of Arizona)
- Makayla Renea Bauer
- Heather S Baxt, LMSW, LSC
- BCG Anesthesia PLLC
- Bci Group LLC
- Elizabeth M Beane, OT
- Beas Enterprises, Inc (Foot Solutions - Surprise)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.