STACY LAKE (NPI# 1912160847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912160847 |
| Entity Type | Individual |
| Full Name | STACY LAKE |
| Practice Address |
154 Medical Park Loop Sylva NC 28779-5271 |
| Mailing Address |
Po Box 2187 Sylva NC 28779-2187 |
| Practice Telephone | 8286313973 |
| Practice Fax Number | 8286319280 |
| Mailing Telephone | 8286313973 |
| Mailing Fax Number | 8286319280 |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2016-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801436027 | Stacy Marrie Lake | Massage Therapist | 1018 Ludington St, Escanaba, MI 49829-3541 | 2020-01-15 |
| 1912274663 | Stacy Ellen Lake | Specialist/Technologist | 14730 Pulver Rd, Fort Wayne, IN 46845-9629 | 2011-11-23 |
| 1588702989 | Stacy N Lake | Pharmacist | 4102 S Regal St, Suite 101, Spokane, WA 99223-7737 | 2007-02-01 |
| Street Address |
154 MEDICAL PARK LOOP |
| City | SYLVA |
| State | NC |
| Zip Code | 28779-5271 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538182563 | Mary E Lossiah | Social Worker | 154 Medical Park Loop, Sylva, NC 28779-5222 | 2006-07-25 |
| 1285276048 | Brittany Courtney Harris | Nurse Practitioner | 154 Medical Park Loop, Sylva, NC 28779-5271 | 2019-10-14 |
| 1659934305 | County of Jackson | Clinic/Center | 154 Medical Park Loop, Sylva, NC 28779-5271 | 2019-04-18 |
| 1346765765 | Benemma Bentley Bailey | Social Worker | 154 Medical Park Loop, Sylva, NC 28779 | 2017-08-07 |
| 1861944902 | William Peter Luckett | Counselor | 154 Medical Park Loop, Sylva, NC 28779-5271 | 2016-10-25 |
| 1831647890 | Belinda Steinel | Social Worker | 154 Medical Park Loop, Sylva, NC 28779-5271 | 2016-09-19 |
| 1164894366 | Michelle Nirde | Counselor | 154 Medical Park Loop, Sylva, NC 28779-5271 | 2015-10-27 |
| 1902273105 | David M Calvin | Counselor | 154 Medical Park Loop, Sylva, NC 28779-5271 | 2015-08-24 |
| 1568838852 | Charlotte Hagins | Counselor | 154 Medical Park Loop, Sylva, NC 28779-5271 | 2015-08-20 |
| 1083099360 | Aaron Plantenberg | Counselor | 154 Medical Park Loop, Sylva, NC 28779-5271 | 2015-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578109286 | Kristie Gail Smith | Nurse Practitioner | 98 Cope Creek Rd A-b, Sylva, NC 28779 | 2019-11-18 |
| 1538702667 | Charlie C Lytle | Speech-Language Pathologist | 185 Brick Farm Rd, Sylva, NC 28779 | 2019-10-22 |
| 1174040869 | Meridian Behavioral Health Services, Inc | Community/Behavioral Health | 516 Parris Branch Rd, Sylva, NC 28779 | 2017-08-24 |
| 1235562133 | Michelle Cooper Cagle | Social Worker | 587 Cope Creek Rd, Sylva, NC 28779 | 2013-08-14 |
| 1336459049 | Sara Ellen Curry | Social Worker | 98 D Cope Creek Road, Sylva, NC 28779 | 2010-10-15 |
| 1902137128 | Skyland House, LLC | Assisted Living Facility | 185 Brickfarm Road, Dillsboro, NC 28779 | 2010-01-28 |
| 1538349931 | Family Preservation Services of North Carolina, Inc. | Psychiatry & Neurology | 206 Marsh Lily Drive, Sylva, NC 28779 | 2007-11-14 |
| 1871783175 | Lauren Jenelle March | Psychologist | 70 Westcare Dr, Sylva, Sylva, NC 28779 | 2007-08-01 |
| 1285836205 | Peter C Buck | Counselor | 132 Ramblewood Dr., Sylva, NC 28779 | 2007-06-01 |
| 1508088873 | Pathways for The Future | Home Health | 525 Mineral Springs Drive, Sylva, NC 28779 | 2007-05-03 |
| Find all providers in zip 28779 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679501407 | Rubye Elizabeth Farris | Counselor | 35 Laser Dr, Sylva, NC 28779-9347 | 2006-06-29 |
| 1528457421 | Michael Yow | Counselor | 98d Cope Creek Rd, Sylva, NC 28779-9508 | 2015-01-15 |
| 1023416088 | Desleigh Gilbert | Counselor | 98d Cope Creek Rd, Sylva, NC 28779-9508 | 2014-12-08 |
| 1487087391 | James Alan Morris | Counselor | 154 Medical Park Loop, Sylva, NC 28779-5271 | 2013-08-14 |
| 1841574514 | Ann Etienne | Counselor | 98d Cope Creek Rd, Sylva, NC 28779-9508 | 2011-09-29 |
| 1275817942 | Katia Carpio | Counselor | 154 Medical Park Loop, Sylva, NC 28779-5271 | 2011-09-29 |
| 1083997928 | Wesley Willoughby | Counselor | 98d Cope Creek Rd, Sylva, NC 28779-9508 | 2011-09-27 |
| 1457634396 | John Jake Lawrence | Counselor | 98d Cope Creek Rd, Sylva, NC 28779-9508 | 2011-09-27 |
| 1225318900 | Sarah A Santaloci | Counselor | 154 Medical Park Loop, Sylva, NC 28779-5271 | 2011-08-25 |
| 1831498427 | Holly Davis | Counselor | 98d Cope Creek Rd, Sylva, NC 28779-9508 | 2011-03-22 |
| Find all providers in SYLVA | ||||
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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.