Active NPI
Staci Butler, LPC
- Mental Health Counselor
- Mancos, CO
National Provider Identifier
1811650203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 84609
- Practice address
- 867 Riverside Ave
Mancos, CO 81328-8997 - Phone
- (972) 256-8528
- NPI assigned
- Oct 21, 2021
- Last updated
- Jul 22, 2026
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 84609 | TX | Primary |
| Mental Health Counselor | 101YM0800X | 0023046 | CO | |
| Professional Counselor | 101YP2500X | 0023046 | CO | |
| Professional Counselor | 101YP2500X | 84609 | TX |
Addresses
Primary practice location
867 Riverside Ave
Mancos, CO 81328-8997
Mailing address
867 Riverside Ave
Mancos, CO 81328-8997
Phone (817) 676-6727
Other practice location 1
5899 Preston Rd Ste 1102
Frisco, TX 75034-9594
Phone (469) 315-6314
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 |
|---|---|---|---|
| 84609 | TX | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Milestone Family Counseling | Professional | 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.
-
- Professional Counselor
- Frisco, TX
- NPI 1750044244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784678400000",
"number": "1811650203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "867 RIVERSIDE AVE",
"city": "MANCOS",
"state": "CO",
"postal_code": "813288997",
"telephone_number": "817-676-6727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "867 RIVERSIDE AVE",
"city": "MANCOS",
"state": "CO",
"postal_code": "813288997",
"telephone_number": "972-256-8528"
}
],
"practiceLocations": [
{
"address_1": "5899 Preston Rd Ste 1102",
"address_purpose": "LOCATION",
"city": "Frisco",
"state": "TX",
"postal_code": "750349594",
"country_code": "US",
"telephone_number": "469-315-6314",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUTLER",
"first_name": "STACI",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-21",
"last_updated": "2026-07-22",
"certification_date": "2026-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "84609",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "0023046",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "0023046",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "84609",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mancos, CO
- Sara Kris Abrams, LPC
- Huston P Anderson, R PH
- Animas Equity, Inc (The Valley Inn)
- Animas Equity, Inc. (The Valley Inn)
- David Cole Awdish
- C&G Health Care Management Inc
- Diane Marie Carson, LAC, LCSW
- Charles Vojta OD LTD
- Kellie Cline
- Cole Awdish LPC LLC (Mancos Valley Center for Trauma and Attachment)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.