Denise Egan Stack, LMHC
Individual provider Active NPI Mental Health Counselor · Barnstable, MA
NPI 1962939348 · NPPES record last updated May 17, 2017
Key facts
- NPI
- 1962939348
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 5258 (MA)
- Practice address
- 275 Millway
Barnstable, MA 02630-1102 - Phone
- (617) 872-0935
- NPI assigned
- May 17, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5258 | MA | MD | Optometrist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 5258 | MA | Yes |
Addresses
Primary practice location
275 Millway
Barnstable, MA 02630-1102
Mailing address
157 Dromoland LN
Barnstable, MA 02630-1804
Other providers in Barnstable, MA
- Linda H Roy
- Sayard Allison Ryan
- Madelyn Victoria Schuh
- Soo Ok Song
- Speech-Language Pathology Assoicates of Cape Cod LLC
- Rosebelle Tenaglia
- Kristine Joy Thoresen
- Tiara a Slaughter, PHD, PC
- Lauren Tyson
- Katie Anne Van Leeuwen
All providers in Barnstable, MA · Mental Health Counselor in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 17, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.