Active NPI
Stacy Frick
- Counselor
- Anderson, SC
National Provider Identifier
1720418031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 4871
- Practice address
- 200 McGee Rd
Anderson, SC 29625-2104 - Phone
- (864) 260-2220
- Fax
- (864) 260-2225
- NPI assigned
- Nov 22, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 4871 | SC | Primary |
Addresses
Primary practice location
200 McGee Rd
Anderson, SC 29625-2104
Mailing address
PO Box 504
Walhalla, SC 29691-0504
Phone (864) 638-9232
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4871 | SC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Willow Branch Counseling and Consulting | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Professional Counselor
- Walhalla, SC
- NPI 1710650544
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385078400000",
"number": "1720418031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 504",
"city": "WALHALLA",
"state": "SC",
"postal_code": "296910504",
"telephone_number": "864-638-9232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 MCGEE RD",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296252104",
"telephone_number": "864-260-2220",
"fax_number": "864-260-2225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRICK",
"first_name": "STACY",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-22",
"last_updated": "2013-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "SC",
"license": "4871",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anderson, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.