Stacey Myers

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

6821 Medbury St
Detroit, MI 48211-3317

Phone

(313) 922-2222

Fax

(866) 287-5710

NPI assigned

Sep 6, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Quality Behavioral Health, Inc.

  • Community/Behavioral Health Agency
  • Detroit, MI
  • NPI 1558493916
  NPD

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

{
    "created_epoch": "1725580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1932934080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6821 MEDBURY ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482113317",
            "telephone_number": "313-922-2222",
            "fax_number": "866-287-5710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6821 MEDBURY ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482113317",
            "telephone_number": "313-922-2222",
            "fax_number": "866-287-5710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "STACEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-06",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Myers, MSN NP
• Katelyn Myers, LMSW
• Lasara Myers, PHLEB, HHA, MLT
• Lashaunta Myers
• Michell Ann Myers, PH.D.
• Orion Myhre, DO
• Mykal Discount Pharmacy
• Bridget Myke, CTRS
• Kayla Myott
• Mypureheart Homecare Services

• Peer Specialist in Detroit, MI
• Providers in Detroit, MI by specialty
• Peer Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.

Verify at the official NPI Registry.