Active NPI
Stacy A Remy, LMHC
- Mental Health Counselor
- Yakima, WA
National Provider Identifier
1801063490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH60220280
- Practice address
- 303 E D St Ste 5
Yakima, WA 98901-2300 - Phone
- (509) 453-1300
- Fax
- (509) 966-9750
- NPI assigned
- May 13, 2008
- Last updated
- Apr 7, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | RC00056210 | WA | |
| Mental Health Counselor | 101YM0800X | LH60220280 | WA | Primary |
Addresses
Primary practice location
303 E D St Ste 5
Yakima, WA 98901-2300
Mailing address
5301 Tieton Drive
Suite C Catholic Family and Child Service
Yakima, WA 98908-3478
Phone (509) 965-7100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2013513 | Medicaid | WA |
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 |
|---|---|---|---|
| LH60220280 | WA | MD | Mental Health Counselor |
| RC00056210 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catholic Charities of the Diocese of Yakima | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Yakima, WA
- NPI 1316248149
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617753600000",
"number": "1801063490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5301 TIETON DRIVE",
"address_2": "SUITE C CATHOLIC FAMILY AND CHILD SERVICE",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989083478",
"telephone_number": "509-965-7100",
"fax_number": "509-966-9750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 E D ST STE 5",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989012300",
"telephone_number": "509-453-1300",
"fax_number": "509-966-9750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REMY",
"first_name": "STACY",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-13",
"last_updated": "2021-04-07",
"certification_date": "2021-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "RC00056210",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH60220280",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2013513",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Yakima, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.