Organization Active NPI

Stacey Hauck Counseling LLC

  • Mental Health Counselor
  • Sioux Falls, SD
National Provider Identifier
1699544957
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
STACEY HAUCK COUNSELING LLC
Practice address
1601 E 69TH St Ste 202
Sioux Falls, SD 57108-8322
Phone
(605) 271-9890
Fax
(605) 799-8174
NPI assigned
Dec 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

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

Authorized official

Name
Stacey HauckNPI 1881852119
Title
Counselor
Phone
(605) 271-9890

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1601 E 69TH St Ste 202
Sioux Falls, SD 57108-8322

Mailing address

1601 E 69TH St Ste 202
Sioux Falls, SD 57108-8322
Phone (605) 271-9890

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240129002647 SD Part B Supplier - Clinic/Group Practice 0840643672 Receives reassigned benefits from 1 practitioner
Practice locations: Sioux Falls, SD

National Provider Directory

National Provider Directory
Tax ID family
Stacey Hauck Counseling2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1703721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703721600000",
    "number": "1699544957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 E 69TH ST STE 202",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571088322",
            "telephone_number": "605-271-9890",
            "fax_number": "605-799-8174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 E 69TH ST STE 202",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571088322",
            "telephone_number": "605-271-9890",
            "fax_number": "605-799-8174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STACEY HAUCK COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-28",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-11",
        "status": "A",
        "authorized_official_last_name": "HAUCK",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "605-271-9890"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.