Active NPI
Stacie Elizabeth Costa, LPC
- Professional Counselor
- Tulsa, OK
National Provider Identifier
1982949061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 5480
- Practice address
- 7935 E 57TH St
Tulsa, OK 74145-8622 - Phone
- (918) 261-9601
- Fax
- (918) 371-0240
- NPI assigned
- Nov 30, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 5480 | OK | Primary |
Addresses
Primary practice location
7935 E 57TH St
Tulsa, OK 74145-8622
Mailing address
7935 E 57TH St
Tulsa, OK 74145-8622
Phone (918) 212-8702
Other names 1
- Stacie Elizabeth Casler
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 21, 2025 through Jan 21, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5480 | OK | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731888000000",
"number": "1982949061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7935 E 57TH ST",
"city": "TULSA",
"state": "OK",
"postal_code": "741458622",
"telephone_number": "918-212-8702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7935 E 57TH ST",
"city": "TULSA",
"state": "OK",
"postal_code": "741458622",
"telephone_number": "918-261-9601",
"fax_number": "918-371-0240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSTA",
"first_name": "STACIE",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-11-30",
"last_updated": "2024-11-18",
"certification_date": "2024-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OK",
"license": "5480",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STACIE",
"last_name": "CASLER",
"middle_name": "ELIZABETH",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.