Organization Active NPI

Stacey Marsh LLC

  • Professional Counselor
  • Oklahoma City, OK
National Provider Identifier
1871892638
Registry record updated Mar 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3342 Issued in OK
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

Updated by the provider on Mar 19, 2011

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)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1760671630MedicaidOK

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.