Staci Poe Counseling Services

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

STACI POE COUNSELING SERVICES

Practice address

53 E Bradley Ave
Champaign, IL 61820-2741

Phone

(872) 205-0960

NPI assigned

May 22, 2019

Organization subpart

No

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

Authorized official

Name

Staci Poe, LCPC

Title

Owner/Lead Therapist

Phone

(872) 205-0960

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1558483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558483200000",
    "number": "1891352142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 E BRADLEY AVE",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618202741",
            "telephone_number": "872-205-0960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 E BRADLEY AVE",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618202741",
            "telephone_number": "872-205-0960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STACI POE COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-22",
        "last_updated": "2019-05-22",
        "status": "A",
        "authorized_official_last_name": "POE",
        "authorized_official_first_name": "STACI",
        "authorized_official_title_or_position": "OWNER/LEAD THERAPIST",
        "authorized_official_telephone_number": "872-205-0960",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rose St Clair, LCSW
• Jessica St Pierre
• Renee Ann St. Clair, PH.D., LMFT
• Kevin Stachnik, D.C.
• Ann Elizabeth Stachowiak
• Samantha Stafford, DPT
• Victor Earl Stams, MD
• Thomas E Standley, DMD
• Heather Lynn Stapleton
• Starlight Occupational Therapy, PLLC

• Professional Counselor in Champaign, IL
• Providers in Champaign, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2019; 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.