MS. STACY L PAUL (NPI# 1063505014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063505014 |
| Entity Type | Individual |
| Full Name | MS. STACY L PAUL |
| Credential | MA, LPC, LICAC |
| Practice Address |
590 S Ocotillo Ave Benson AZ 85602-6405 |
| Mailing Address |
489 N Arroyo Blvd Nogales AZ 85621-2644 |
| Practice Telephone | 5205867080 |
| Practice Fax Number | 5205863163 |
| Mailing Telephone | 5202874713 |
| Mailing Fax Number | 5202879794 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LISAC1626 | AZ | Behavioral Health & Social Service Providers |
| X | 101YP2500X |
Counselor Specialization: Professional |
LPC2397 | AZ | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | AHCCCS | 644999 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700074325 | Stacy Paul | Speech-Language Pathologist | 701 Genevieve Dr, Mechanicsburg, PA 17055-9543 | 2007-10-09 |
| 1215219431 | Stacy Jo Paul | Community Health Worker | 1112 Finnegan Way, Bellingham, WA 98225-6622 | 2011-09-14 |
| Street Address |
590 S OCOTILLO AVE |
| City | BENSON |
| State | AZ |
| Zip Code | 85602-6405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255329132 | Southeastern Arizona Behavioral Health Services, Inc. | Public Health or Welfare | 590 S Ocotillo Ave, Benson, AZ 85602-6405 | 2005-10-13 |
| 1760830137 | Southeastern Arizona Behavioral Health Services, Inc. | Community/Behavioral Health | 590 S Ocotillo Ave, Benson, AZ 85602-6405 | 2016-05-26 |
| 1790095313 | King Richard Randell | Counselor | 590 S Ocotillo Ave, Benson, AZ 85602-6405 | 2010-10-15 |
| 1245544071 | Murray Ellis Leimsieder | Counselor | 590 S Ocotillo Ave, Benson, AZ 85602-6405 | 2010-08-04 |
| 1902968845 | Jennie Elise Mcmillian | Counselor | 590 S Ocotillo Ave, Benson, AZ 85602-6405 | 2006-12-15 |
| 1417048356 | Kim Anderson Greenwood | Nurse Practitioner | 590 S Ocotillo Ave, Benson, AZ 85602-6405 | 2006-09-27 |
| 1750328480 | Robin A. Toole | Social Worker | 590 S Ocotillo Ave, Benson, AZ 85602-6405 | 2006-06-01 |
| 1275586117 | Ronald E. Basil | Social Worker | 590 S Ocotillo Ave, Benson, AZ 85602-6405 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821582529 | Chiricahua Community Health Centers, Inc | Clinic/Center | 335 South Ocotillo Avenue, Benson, AZ 85602 | 2018-06-18 |
| 1437651288 | Chiricahua Community Health Centers Inc | Pharmacy | 335 S Ocotillo Avenue, Benson, AZ 85602 | 2018-03-07 |
| 1295191641 | Caring Connections for Special Needs, LLC. | Community/Behavioral Health | 870 W 4th St, Benson, AZ 85602 | 2016-01-14 |
| 1396158762 | Nicole Michelle Morris | Audiologist | 1989 S. Frontage Rd., Audiology Hearing and Balance Services, Sierra Vista, AZ 85602 | 2014-06-03 |
| 1467735217 | Josephine Anne Ellsworth | Counselor | 811 Maverick Lane, Benson, AZ 85602 | 2011-09-27 |
| 1730483819 | Charles Dean Kartchner | Anesthesiology | 1357 East Airport Road, Benson, AZ 85602 | 2011-01-04 |
| 1699077321 | Community Bridges, Inc | Clinic/Center | 470 S Ocotillo Ave # 2, Benson, AZ 85602 | 2010-12-01 |
| 1801106844 | Tomas G. Soto | Social Worker | 611 W. Union St., Benson, AZ 85602 | 2010-10-08 |
| 1982929451 | Marla Jeanne Trepanier | Pharmacist | 795 W Fourth Street, Benson, AZ 85602 | 2010-03-29 |
| 1396910832 | Susan May Boge | Occupational Therapist | 1764 N Ocotillo Rd, Benson, AZ 85602 | 2008-04-25 |
| Find all providers in zip 85602 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982058012 | Debra A Heaton | Counselor | 324 S Ocotillo Ave, Benson, AZ 85602-6401 | 2016-04-14 |
| 1316157944 | Jonell Elizabeth Schmidt | Counselor | 380 55th Ave Nw, Benson, MN 56215 | 2007-05-23 |
| 1992897227 | Judeth L Thorndike | Counselor | 335 S Ocotillo Ave, Benson, AZ 85602 | 2006-09-28 |
| 1790095313 | King Richard Randell | Counselor | 590 S Ocotillo Ave, Benson, AZ 85602-6405 | 2010-10-15 |
| 1780993048 | Daniel Barden | Counselor | 611 W Union St, Benson, AZ 85602-6718 | 2010-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215534946 | Jodie Lynn Gonzalez | Counselor | 20430 W Carla Vista, Buckeye, AZ 85326-4698 | 2020-10-06 |
| 1649885716 | Global Family LLC | Counselor | 4523 N 92nd Ave, Phoenix, AZ 85037-2450 | 2020-09-15 |
| 1891300299 | Roundsville Drug and Alcohol Treatment of Arizona | Counselor | 610 N Bagby Dr, Prescott, AZ 86301-2588 | 2020-09-11 |
| 1982218772 | Bashar Aldeen | Counselor | 3401 W Country Gables Dr, Phoenix, AZ 85053-4756 | 2020-08-31 |
| 1811509581 | Creosote Mental Health Group | Counselor | 4646 N Swan Rd Ste 105, Tucson, AZ 85718-6715 | 2020-08-23 |
| 1316559644 | Pamela Mcrae | Counselor | 17611 W Pershing St, Surprise, AZ 85388-5024 | 2020-08-18 |
| 1508478082 | Tahonna Latreise Surrell | Counselor | 3236 E Chandler Blvd Unit 1034, Phoenix, AZ 85048-7281 | 2020-08-17 |
| 1619588209 | Teri Sebastian | Counselor | 240 S Montezuma St Ste 201e, Prescott, AZ 86303-4712 | 2020-08-16 |
| 1497366314 | Cachora Standifer | Counselor | 6294 S Eagles Talon Pkwy, Tucson, AZ 85757-1639 | 2020-08-13 |
| 1346858883 | Heather Romero | Counselor | 110 W Camelback Rd Ste 200, Phoenix, AZ 85013-2564 | 2020-07-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.