Active NPI
Stacie Meacham, LMHC
- Professional Counselor
- Brookline, MA
National Provider Identifier
1891126835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 18167
- Practice address
- 33A Harvard St
Suite 203
Brookline, MA 02445-7989 - Phone
- (781) 249-7069
- NPI assigned
- Dec 2, 2013
- Sex
- Female
- 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 | 18167 | AZ | Primary |
Addresses
Primary practice location
33A Harvard St
Suite 203
Brookline, MA 02445-7989
Mailing address
30842 W Pinchot CT
Buckeye, AZ 85396-6671
Phone (781) 249-0769
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 |
|---|---|---|---|
| 18167 | AZ | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729814400000",
"number": "1891126835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30842 W PINCHOT CT",
"city": "BUCKEYE",
"state": "AZ",
"postal_code": "853966671",
"telephone_number": "781-249-0769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33A HARVARD ST",
"address_2": "SUITE 203",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024457989",
"telephone_number": "781-249-7069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEACHAM",
"first_name": "STACIE",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-12-02",
"last_updated": "2024-10-25",
"certification_date": "2024-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "18167",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brookline, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.