Individual provider Active NPI

Stacy Ikard, PH.D.

  • Professional Counselor
  • Huntsville, AL
National Provider Identifier
1972637700
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1864 Issued in AL
Practice address
805 Madison St SE
Suite 2-C
Huntsville, AL 35801-4419
Phone
(256) 519-9000
Fax
(256) 519-9002
NPI assigned
Mar 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 1864 AL Primary

Addresses

Primary practice location

805 Madison St SE
Suite 2-C
Huntsville, AL 35801-4419

Mailing address

805 Madison St SE
Suite 2-C
Huntsville, AL 35801-4419
Phone (256) 519-9000

Other identifiers 3

IdentifierTypeStateIssuer
51519560OtherALBCBS OF AL
51521363OtherAMERICAN BEHAVIORAL
11608140OtherCAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1864ALMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Counseling Center,LLC Professional Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972637700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 MADISON ST SE",
            "address_2": "SUITE 2-C",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014419",
            "telephone_number": "256-519-9000",
            "fax_number": "256-519-9002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 MADISON ST SE",
            "address_2": "SUITE 2-C",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014419",
            "telephone_number": "256-519-9000",
            "fax_number": "256-519-9002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IKARD",
        "first_name": "STACY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "1864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL",
            "identifier": "51519560",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN BEHAVIORAL",
            "identifier": "51521363",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11608140",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.