Individual provider Active NPI

Luciann Patsos Stalzer, LPC

  • Mental Health Counselor
  • Huntersville, NC
National Provider Identifier
1710201884
Registry record updated Jun 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
7819 Issued in NC
Practice address
14636 Reese Blvd W
Suite B2
Huntersville, NC 28078-7946
Phone
(704) 584-9222
NPI assigned
Mar 18, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2012

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 7819 NC Primary

Addresses

Primary practice location

14636 Reese Blvd W
Suite B2
Huntersville, NC 28078-7946

Mailing address

19934 Catamaran CT
Cornelius, NC 28031-6221
Phone (704) 458-0223

Other identifiers 1

IdentifierTypeStateIssuer
6104761MedicaidNC

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

State licenses

LicenseStateTypeSpecialty
7819NCMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1268870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339632000000",
    "number": "1710201884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19934 CATAMARAN CT",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280316221",
            "telephone_number": "704-458-0223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14636 REESE BLVD W",
            "address_2": "SUITE B2",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280787946",
            "telephone_number": "704-584-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STALZER",
        "first_name": "LUCIANN",
        "middle_name": "PATSOS",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-18",
        "last_updated": "2012-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "7819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6104761",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntersville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2012; 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.