Stacy Christine Fruhling, LCPC, LCADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LCA460 Issued in MD

Practice address

929 Tipton Rd
Middle River, MD 21220-3785

Phone

(443) 559-4595

Fax

(443) 559-4595

NPI assigned

Sep 14, 2010

Last updated

Jan 22, 2021By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: stacyfruhling@tdh.allscriptsdirect.net

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.

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  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Mental Health

  NPD

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

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611273600000",
    "number": "1902114820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 TIPTON RD",
            "city": "MIDDLE RIVER",
            "state": "MD",
            "postal_code": "212203785",
            "telephone_number": "443-559-4595",
            "fax_number": "443-559-4595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 TIPTON RD",
            "city": "MIDDLE RIVER",
            "state": "MD",
            "postal_code": "212203785",
            "telephone_number": "443-559-4595",
            "fax_number": "443-559-4595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRUHLING",
        "first_name": "STACY",
        "middle_name": "CHRISTINE",
        "credential": "LCPC, LCADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-14",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "LCA460",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC1779",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Calesha Tamar Evans
• Terrance Fenerty, D.C.
• Kristen Marie Fink, PHARMD
• Desiree Rose Flores, OTR
• Frontline Healthcare Services LLC
• Patrick Galloway, DPT
• Samantha Gard
• Pouya Gharahdaghi, MD
• Amy Giller
• Modupe Giwa

• Addiction (Substance Use Disorder) Counselor in Middle River, MD
• Providers in Middle River, MD by specialty
• Addiction (Substance Use Disorder) Counselor in Maryland

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

Verify at the official NPI Registry.