Staci Pfeiffer-Cook LPC, LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

STACI PFEIFFER-COOK LPC, LLC

Doing business as

The Banyan Tree Center

Practice address

1 Huntington Rd Ste 103
Athens, GA 30606-7205

Phone

(706) 850-7041

Fax

(706) 850-7042

NPI assigned

Apr 30, 2021

Organization subpart

No

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

Authorized official

Name

Staci Pfeiffer, EDS, LPC, CPCS, MACNPI 1114243110

Title

Founding Clinical Director

Phone

(706) 850-7041

Specialties & licenses 7

Addresses

Other names 1

• The Banyan Tree Center Doing business as

Practitioners 1

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

• Staci Pfeiffer, EDS, LPC, NCC

  • Counselor
  • Athens, GA
  • NPI 1114243110
  NPD Authorized official

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

{
    "created_epoch": "1619740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619740800000",
    "number": "1750964458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HUNTINGTON RD STE 103",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306067205",
            "telephone_number": "706-850-7041",
            "fax_number": "706-850-7042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HUNTINGTON RD STE 103",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306067205",
            "telephone_number": "706-850-7041",
            "fax_number": "706-850-7042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STACI PFEIFFER-COOK LPC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-30",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A",
        "authorized_official_last_name": "PFEIFFER",
        "authorized_official_first_name": "STACI",
        "authorized_official_title_or_position": "FOUNDING CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "706-850-7041",
        "authorized_official_credential": "EDS, LPC, CPCS, MAC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Banyan Tree Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• St. Mary'S Medical Group, Inc.
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• Michael Stahl, PTA
• Marielle A Stair, LCSW
• Morgan A Stamey
• Martin H Stancil, PA-C
• Sarah Standard Bennett, FNP-C

• Counselor in Athens, GA
• Providers in Athens, GA by specialty
• Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; 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.