Active NPI
Stacey Marsh LLC
- Professional Counselor
- Oklahoma City, OK
National Provider Identifier
1871892638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3342
- Legal business name
- STACEY MARSH LLC
- Practice address
- 6805 Rivergate LN
Oklahoma City, OK 73132-3904 - Phone
- (405) 401-9428
- NPI assigned
- Mar 19, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Stacey L. Marsh, MED, LPC
- Title
- Owner
- Phone
- (405) 401-9428
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 3342 | OK | Primary |
Addresses
Primary practice location
6805 Rivergate LN
Oklahoma City, OK 73132-3904
Mailing address
6805 Rivergate LN
Oklahoma City, OK 73132-3904
Phone (405) 401-9428
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760671630 | Medicaid | OK |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300492800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1300492800000",
"number": "1871892638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6805 RIVERGATE LN",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731323904",
"telephone_number": "405-401-9428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6805 RIVERGATE LN",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731323904",
"telephone_number": "405-401-9428"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STACEY MARSH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-03-19",
"last_updated": "2011-03-19",
"status": "A",
"authorized_official_last_name": "MARSH",
"authorized_official_first_name": "STACEY",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "405-401-9428",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MED, LPC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "OK",
"license": "3342",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1760671630",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.