Active NPI
Stacy Barkin
- Professional Counselor
- Tempe, AZ
National Provider Identifier
1780149468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC-13173
- Practice address
- 2600 E Southern Ave Ste E1
Tempe, AZ 85282-7744 - Phone
- (480) 409-0322
- Fax
- (877) 559-2816
- NPI assigned
- Feb 6, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LISAC-11684 | AZ | |
| Professional Counselor | 101YP2500X | LPC-13173 | AZ | Primary |
Addresses
Primary practice location
2600 E Southern Ave Ste E1
Tempe, AZ 85282-7744
Mailing address
5012 N 83Rd St
Scottsdale, AZ 85250-7302
Phone (619) 994-2237
Other practice location 1
5700 W Olive Ave Ste 103
Glendale, AZ 85302-3147
Phone (602) 492-9595
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 |
|---|---|---|---|
| LISAC-11684 | AZ | MD | Addiction (Substance Use Disorder) Counselor |
| LPC-13173 | AZ | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618444800000",
"number": "1780149468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5012 N 83RD ST",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852507302",
"telephone_number": "619-994-2237",
"fax_number": "480-947-2428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 E SOUTHERN AVE STE E1",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852827744",
"telephone_number": "480-409-0322",
"fax_number": "877-559-2816"
}
],
"practiceLocations": [
{
"address_1": "5700 W Olive Ave Ste 103",
"address_purpose": "LOCATION",
"city": "Glendale",
"state": "AZ",
"postal_code": "853023147",
"country_code": "US",
"telephone_number": "602-492-9595",
"fax_number": "877-559-2816",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BARKIN",
"first_name": "STACY",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-06",
"last_updated": "2021-04-15",
"certification_date": "2021-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "AZ",
"license": "LISAC-11684",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "LPC-13173",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.