Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

STACY RICKS
NPI 1033084173
Counselor - Professional in Tupelo, MS

Active since October 08, 2025PECOS EnrolledAccepts Medicare Assignment
1893 CLIFF GOOKIN BLVD, TUPELO, MS 38801(662) 584-5097(662) 495-4079 Get Directions Write a Review

NPPES record last updated: August 13, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 13, 2026, Oct 8, 2025 (2 updates tracked since 2025).

About Stacy Ricks NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACY RICKS (NPI 1033084173) is an individual professional provider in Tupelo, Mississippi, licensed in Mississippi (3063) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Tupelo, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1033084173
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSTACY RICKS
Location Address1893 CLIFF GOOKIN BLVDTupelo, MS 38801-6558
Mailing AddressPo Box 68Tupelo, MS 38802-0068 · (662) 584-5097
Fax(662) 495-4079
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 8, 2025
Last NPPES UpdateAugust 13, 20262 updates tracked since enumeration
NPPES CertifiedAugust 13, 2026
NPI 1033084173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in MS · 3063
1893 CLIFF GOOKIN BLVD, Tupelo, MS 38801

Secondary Practice Location 1

Location 1302 S Spring StTupelo, MS 38804-4822 · Phone (662) 584-5097

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Stacy Ricks is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1850880667
PECOS Enrollment IDI20251031000630
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
1893 CLIFF GOOKIN BLVD
TUPELO, MS 38801
Social Worker (Clinical)
1893 CLIFF GOOKIN BLVD
TUPELO, MS 38801
Behavior Analyst
1893 CLIFF GOOKIN BLVD
TUPELO, MS 38801
Nurse Practitioner (Psychiatric/Mental Health)
1893 CLIFF GOOKIN BLVD
TUPELO, MS 38801

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacy Ricks's NPI number?

The NPI number for Stacy Ricks is 1033084173. It was assigned to this individual provider in the NPPES registry on October 8, 2025.

Where is Stacy Ricks located?

Stacy Ricks practices at 1893 Cliff Gookin Blvd, Tupelo, MS 38801. The listed phone number is (662) 584-5097.

What is Stacy Ricks's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Stacy Ricks enrolled in Medicare?

Yes. Stacy Ricks is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Stacy Ricks was last updated on August 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.