Active NPI
Stacey Salley, LPC
- Professional Counselor
- Warner Robins, GA
National Provider Identifier
1881365542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC012151
- Practice address
- 507 N Davis Dr Ste 1a
Warner Robins, GA 31093-2687 - Phone
- (478) 508-0382
- NPI assigned
- Sep 22, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC012151 | GA | Primary |
Addresses
Primary practice location
507 N Davis Dr Ste 1a
Warner Robins, GA 31093-2687
Mailing address
507 N Davis Dr Ste 1a
Warner Robins, GA 31093-2687
Phone (478) 508-0382
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC012151 | GA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632268800000",
"number": "1881365542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "507 N DAVIS DR STE 1A",
"city": "WARNER ROBINS",
"state": "GA",
"postal_code": "310932687",
"telephone_number": "478-508-0382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "507 N DAVIS DR STE 1A",
"city": "WARNER ROBINS",
"state": "GA",
"postal_code": "310932687",
"telephone_number": "478-508-0382"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALLEY",
"first_name": "STACEY",
"name_prefix": "Mr.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-09-22",
"last_updated": "2021-09-22",
"certification_date": "2021-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC012151",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warner Robins, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.