Individual provider Active NPI

Stacey Johnson McLaughlin, PY 7039

  • Counseling Psychologist
  • Lakeland, FL
National Provider Identifier
1760620595
Registry record updated Feb 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
PY 6743 Issued in FL
Practice address
4404 S Florida Ave Ste 3
Lakeland, FL 33813-2183
Phone
(863) 709-8110
Fax
(863) 709-8118
NPI assigned
Feb 2, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X PY 6743 FL Primary
School Psychologist 103TS0200X PY 6743 FL

Addresses

Primary practice location

4404 S Florida Ave Ste 3
Lakeland, FL 33813-2183

Mailing address

4404 S Florida Ave Ste 3
Lakeland, FL 33813-2183
Phone (863) 709-8110

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
PY 6743FLMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bettye West & Associates, Inc. Past 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.

NPI Registry JSON

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

{
    "created_epoch": "1233532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233532800000",
    "number": "1760620595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4404 S FLORIDA AVE STE 3",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132183",
            "telephone_number": "863-709-8110",
            "fax_number": "863-709-8118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4404 S FLORIDA AVE STE 3",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132183",
            "telephone_number": "863-709-8110",
            "fax_number": "863-709-8118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLAUGHLIN",
        "first_name": "STACEY",
        "middle_name": "JOHNSON",
        "name_prefix": "Dr.",
        "credential": "PY 7039",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-02",
        "last_updated": "2009-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "FL",
            "license": "PY 6743",
            "primary": true
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "FL",
            "license": "PY 6743",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2009; 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.