Individual provider Active NPI

Stacey Nagle, LMHC

  • Mental Health Counselor
  • Seattle, WA
National Provider Identifier
1851636922
Registry record updated Dec 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60692965 Issued in WA
Practice address
3417 Evanston Ave N
Suite 315
Seattle, WA 98103-8626
Phone
(206) 302-8448
NPI assigned
Nov 30, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH60692965 WA Primary

Addresses

Primary practice location

3417 Evanston Ave N
Suite 315
Seattle, WA 98103-8626

Mailing address

3417 Evanston Ave N
Suite 315
Seattle, WA 98103-8626
Phone (206) 302-8448

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 28, 2024 through Feb 29, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LH60692965WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Stace Nagle Counseling, PLLC CurrentSince Feb 7, 2021 Accepting new patients

Locations

3417 Evanston Ave N
Ste 315
Seattle, WA 98103
Phone (206) 302-8448

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1354233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482624000000",
    "number": "1851636922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3417 EVANSTON AVE N",
            "address_2": "SUITE 315",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981038626",
            "telephone_number": "206-302-8448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3417 EVANSTON AVE N",
            "address_2": "SUITE 315",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981038626",
            "telephone_number": "206-302-8448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGLE",
        "first_name": "STACEY",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-30",
        "last_updated": "2016-12-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60692965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.