Stacy Smith, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

4227 Issued in CO

Practice address

100 South Ridge Road
Suite 201 C
Breckenridge, CO 80424

Phone

(970) 389-6172

NPI assigned

Jan 21, 2011

Last updated

Jan 21, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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

Specialty

Mental Health Counselor

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eagle Valley Mental HealthGroup PAC ID 6204297450, 32 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Vail Health Hospital Hospital, Vail, CO, CCN 060096

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eagle Valley Mental Health

  dba Eagle Valley Behavioral Health

  • Community/Behavioral Health Agency
  • Edwards, CO
  • NPI 1972267292
  Medicare reassignment Care Compare group NPD
• Eagle Valley Mental Health

  dba EVBH at Vail Health Hospital

  • Community/Behavioral Health Agency
  • Vail, CO
  • NPI 1063210946

  Mental Health

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Vail Clinic Inc

  dba Shaw Cancer Clinic at Frisco

  • Clinic/Center
  • Frisco, CO
  • NPI 1003463217

  Hospital

  Care Compare affiliation
• Vail Clinic Inc

  dba Beaver Creek Medical Center - Service of Vail Health Hospital

  • General Acute Care Hospital
  • Avon, CO
  • NPI 1093361842
  Care Compare affiliation
• Vail Clinic Inc

  dba Shaw Cancer Center - Service of Vail Health Hospital

  • General Acute Care Hospital
  • Edwards, CO
  • NPI 1144876251
  Care Compare affiliation
• Vail Clinic, Inc.

  dba Precourt Healing Center

  • General Acute Care Hospital
  • Edwards, CO
  • NPI 1659151009
  Care Compare affiliation
• Vail Clinic, Inc.

  dba Vail Health Hospital

  • General Acute Care Hospital
  • Vail, CO
  • NPI 1992812333
  Care Compare affiliation

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

{
    "created_epoch": "1295568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295568000000",
    "number": "1871898858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6423",
            "city": "BRECKENRIDGE",
            "state": "CO",
            "postal_code": "804246423",
            "telephone_number": "970-389-6172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SOUTH RIDGE ROAD",
            "address_2": "SUITE 201 C",
            "city": "BRECKENRIDGE",
            "state": "CO",
            "postal_code": "80424",
            "telephone_number": "970-389-6172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "STACY",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-21",
        "last_updated": "2011-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "4227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clarice Bernadette Sage, MD
• Samantha Stuber Therapeutics, PLLC (Dba Glow Collective Integrative Therapy
• Kristin Erica Schwarck, PT
• Michelle M Searles, C.N.
• Rebeca Y. Sipe, R.M.T.
• Morgan E Sneller, DPT
• Colin John Snyder, PT DPT
• Symon Benjamin Stanley, DDS
• Kay Sterling, MS,PT
• Jill Annette Strandquist, OTR

• Mental Health Counselor in Breckenridge, CO
• Providers in Breckenridge, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2011; 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.