Staci N Dungee, LPC, CSAC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701010467 Issued in VA

Practice address

1360 Beverly Rd Ste 200
MC Lean, VA 22101-3647

Phone

(804) 207-6737

NPI assigned

Jun 10, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DC, VA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Mental Health Counselor

Education

Other

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Commonwealth Counseling Associates IncGroup PAC ID 0941288583, 207 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: commonwealthcounselingassociates.stacinicoledungee@134000.advancedmd-direct.com

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.

• Commonwealth Counseling Associates Inc

  • Clinical Psychologist
  • Mechanicsville, VA
  • NPI 1851345805

  Addiction (Substance Use Disorder), DC

  Medicare reassignment Care Compare group NPD
• Grace, Hope and Love Counseling Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chester, VA
  • NPI 1639746654
  NPD Authorized official
• Chippenham & Johnston-Willis Hospitals, Inc.

  • Electrodiagnostic Medicine Physician
  • Richmond, VA
  • NPI 1033596416
  NPD (past)

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

{
    "created_epoch": "1623283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1841867488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1554",
            "city": "TAPPAHANNOCK",
            "state": "VA",
            "postal_code": "225601554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 BEVERLY RD STE 200",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013647",
            "telephone_number": "804-207-6737"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10710 Midlothian Tpke Ste 127",
            "address_purpose": "LOCATION",
            "city": "North Chesterfield",
            "state": "VA",
            "postal_code": "232354776",
            "country_code": "US",
            "telephone_number": "804-207-6737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNGEE",
        "first_name": "STACI",
        "middle_name": "N",
        "credential": "LPC, CSAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-10",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0710103796",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701010467",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701010467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30016099110003",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dr.S Sullivan, Kaihara & Watkins
• Heath Franklin Dreyfuss, M.D.
• Nadine Dubowitz, MD
• Gloria Duda, M.D.
• Duffy Counseling Center
• Deborah Lee Dunman, LMSW, LCDC
• Gwendilynn Thu Duong, RDH,BS
• Lynn Durbin, ATC
• Kaysee Dwyer, PHARMD
• E&T Executive LLC

• Professional Counselor in MC Lean, VA
• Providers in MC Lean, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.