Stacie Adams, MA, EDS, LPC
Individual provider Active NPI Professional Counselor · Dobson, NC
NPI 1891156618 · NPPES record last updated Aug 25, 2018
Key facts
- NPI
- 1891156618
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- A11955 (NC)
- Practice address
- 109 W Atkins St
Dobson, NC 27017 - Phone
- (336) 443-4121
- NPI assigned
- Mar 8, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A11955 | NC | MD | Professional Counselor |
| 11955 | NC | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bowen Health Inc | Current |
Accepting new patients | |
| Bowen Health Inc | Current | Accepting new patients |
Locations
101 E Park Dr
Albion, IN 46701
Phone (260) 636-6884
2621 E Jefferson St
Warsaw, IN 46580
Phone (574) 269-0573
850 N Harrison St
Warsaw, IN 46580
Phone (219) 267-7169
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | A11955 | NC | Yes |
| Counselor | 101Y00000X | 11955 | NC | |
| Mental Health Counselor | 101YM0800X | 11955 | NC |
Addresses
Primary practice location
109 W Atkins St
Dobson, NC 27017
Mailing address
PO Box 92
Dobson, NC 27017-0092
Phone (336) 404-2986
Other practice location 1
105 Open Meadow Dr
Dobson, NC 27017-8662
Phone (336) 404-2986
Other providers in Dobson, NC
- Darren T Absher
- Savannah Harold Adams
- Samantha Berryman Ange
- Tara C Ardito
- Alicia Michelle Atkins
- Kristy Lee Ayers
- Ilene Lillian Bayer
All providers in Dobson, NC · Professional Counselor in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.