Active NPI
Nancy Gay Stone, LCSW
- Mental Health Counselor
- Palmer, AK
National Provider Identifier
1992488472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 228992
- Practice address
- 425 E Dahlia Ave
Palmer, AK 99645-6463 - Phone
- (907) 376-2411
- NPI assigned
- Aug 10, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | BBH-LAC-LIC-64410 | MT | |
| Mental Health Counselor | 101YM0800X | 228992 | AK | Primary |
Addresses
Primary practice location
425 E Dahlia Ave
Palmer, AK 99645-6463
Mailing address
PO Box 671451
Chugiak, AK 99567-1451
Phone (406) 788-4268
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1363 W Spruce Ave
Wasilla, AK 99654-5327
Phone (907) 376-2411
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BBH-LAC-LIC-64410 | MT | MD | Addiction (Substance Use Disorder) Counselor |
| 228992 | AK | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mat - Su Health Services Inc. | Current | Accepting new patients |
Locations
425 E Dahlia Ave
Ste M
Palmer, AK 99645
Phone (907) 376-2411
1363 W Spruce Ave
Wasilla, AK 99654
Phone (907) 376-2411
Interoperability endpoints
- nancy.stone.p1@direct.mshs.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Wasilla, AK
- NPI 1184725210
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729036800000",
"number": "1992488472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 671451",
"city": "CHUGIAK",
"state": "AK",
"postal_code": "995671451",
"telephone_number": "406-788-4268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 E DAHLIA AVE",
"city": "PALMER",
"state": "AK",
"postal_code": "996456463",
"telephone_number": "907-376-2411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STONE",
"first_name": "NANCY",
"middle_name": "GAY",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-10",
"last_updated": "2024-10-16",
"certification_date": "2024-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MT",
"license": "BBH-LAC-LIC-64410",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AK",
"license": "228992",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palmer, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.