Stacey Hipps Page, NCC, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

011319 Issued in GA

Practice address

11578 Highway 27
Summerville, GA 30747-5873

Phone

(706) 857-5441

NPI assigned

Sep 22, 2016

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

Enrolled in GA

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 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Lookout Mountain Community Services

  • Community/Behavioral Health Agency
  • Lafayette, GA
  • NPI 1790782431
  Medicare reassignment NPD
• Lookout Mountain Community Services

  • Community/Behavioral Health Agency
  • Lafayette, GA
  • NPI 1386716124
  NPD

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

{
    "created_epoch": "1474502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577404800000",
    "number": "1861941668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11578 HIGHWAY 27",
            "city": "SUMMERVILLE",
            "state": "GA",
            "postal_code": "307475873",
            "telephone_number": "706-857-5441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11578 HIGHWAY 27",
            "city": "SUMMERVILLE",
            "state": "GA",
            "postal_code": "307475873",
            "telephone_number": "706-857-5441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGE",
        "first_name": "STACEY",
        "middle_name": "HIPPS",
        "credential": "NCC, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-22",
        "last_updated": "2019-12-27",
        "certification_date": "2019-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "APC005525",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "011319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Elaine O'Toole, FNP-BC
• Oakview Nursing & Rehabilitation Center LLC
• Cheryl Odom
• Shannon Owensby, RN
• P. Carl Davidson MD PC
• Mary Doster Parker, ED. S
• Magdana Philossaint, PHD
• Pledger Behavior Consulting, LLC
• Erin Marks Pledger, M.ED.
• Tyler Wayne Pledger, MS, BCBA

• Professional Counselor in Summerville, GA
• Providers in Summerville, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.