COURTNEY STACK
NPI 1043685712
Counselor in Milwaukee, WI

Q: What is Courtney Stack's NPI number?

The NPI number for Courtney Stack is 1043685712. It was assigned to this individual provider in the NPPES registry on December 7, 2015.

Q: What is Courtney Stack's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Courtney Stack was last updated on October 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.

Active since December 07, 2015PECOS Enrolled

210 W CAPITOL DR, MILWAUKEE, WI 53212(414) 727-6320 Get Directions Write a Review

NPPES record last updated: October 20, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 20, 2022, Dec 7, 2015 (2 updates tracked since 2015).

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About Courtney Stack NPPES

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

COURTNEY STACK (NPI 1043685712) is an individual counselor in Milwaukee, Wisconsin, licensed in Wisconsin (6859-125) and active in the NPI registry since December 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043685712

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameCOURTNEY STACK

Location Address210 W CAPITOL DRMilwaukee, WI 53212-1123

Mailing Address1812 E Howard AveMilwaukee, WI 53207-4000 · (708) 439-6893

Phone(414) 727-6320

Sole ProprietorNo

Enumeration DateDecember 7, 2015

Last NPPES UpdateOctober 20, 20222 updates tracked since enumeration

NPPES CertifiedOctober 20, 2022

✔ NPI 1043685712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in WI · 6859-125

Definition

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

210 W CAPITOL DR, Milwaukee, WI 53212

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Medica.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Courtney Stack is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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Other Providers at the Same Location NPPES 20

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

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