Stacy Lee Kinzler, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

P2006026 Issued in AR

Practice address

3801 JFK Blvd
North Little Rock, AR 72116-8247

Phone

(501) 416-2138

NPI assigned

Jun 29, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Stacy Kinzler Therapy Inc

  • Professional Counselor
  • North Little Rock, AR
  • NPI 1932711876
  NPD Authorized official

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

{
    "created_epoch": "1593388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593388800000",
    "number": "1801413554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3315 N CYPRESS ST",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721169190",
            "telephone_number": "501-416-2138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 JFK BLVD",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721168247",
            "telephone_number": "501-416-2138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINZLER",
        "first_name": "STACY",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-29",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P2006026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tim Allen Kimbrell, M.D.
• Anne Marie Kinchen
• Estel King, BCBA
• Sarah G King, PT
• Jaden Kinney, PTA
• Jeffrey Kirchner, M.D.
• Joann Elaine Kirchner, M.D.
• Erica Kirkes, CTRS
• Jessica Kirksey, PHD
• Pamela Jean Kiser, M.D.

• Professional Counselor in North Little Rock, AR
• Providers in North Little Rock, AR by specialty
• Professional Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; 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.