Stacie Mackey, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

P1109065 Issued in AR

Practice address

3214 Winchester
Benton, AR 72015-2929

Phone

(501) 326-6160

Fax

(501) 326-6161

NPI assigned

Jan 22, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318809600000",
    "number": "1841477866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3214 WINCHESTER",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720152929",
            "telephone_number": "501-326-6160",
            "fax_number": "501-326-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3214 WINCHESTER",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720152929",
            "telephone_number": "501-326-6160",
            "fax_number": "501-326-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKEY",
        "first_name": "STACIE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-22",
        "last_updated": "2011-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "A0810082",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "P1109065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Matthews Lowry, SLP
• Wendy Johnson Lyon, MS CCC SLP
• Gavin Lyons, CMP
• Melanie Mabry, APRN
• John Dylan Machycek, D.C.
• Randy Maddox, M.D.
• Baylee Magby
• Main Street Medical Clinic, P.a.
• Curtis Mallory
• Shareka Maner, RECOVERY ASSISTANT

• Mental Health Counselor in Benton, AR
• Providers in Benton, AR by specialty
• Mental Health Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; 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.