STACEY D MIDDLETON MA, LPC
NPI 1053766063
Counselor - Professional in St. Charles, MO

Active since April 27, 2016PECOS Enrolled
1601 OLD SOUTH RIVER RD, ST. CHARLES, MO 63303(636) 224-1029 Get Directions Write a Review

NPPES record last updated: March 16, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 16, 2026, May 15, 2025, Jun 16, 2023 and 1 more (4 updates tracked since 2020).

About Stacey D Middleton Ma, Lpc NPPES

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

STACEY D MIDDLETON MA, LPC (NPI 1053766063) is an individual professional provider in St. Charles, Missouri, licensed in Missouri (2015000499) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1053766063
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSTACEY D MIDDLETONCredential: MA, LPC
Location Address1601 OLD SOUTH RIVER RDSt. Charles, MO 63303
Mailing Address2885 W Battlefield StSpringfield, MO 65807-3952 · (417) 761-5000
Sole ProprietorNo
Enumeration DateApril 27, 2016
Last NPPES UpdateMarch 16, 20264 updates tracked since enumeration
NPPES CertifiedMarch 16, 2026
NPI 1053766063 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 MO · 2015000499
1601 OLD SOUTH RIVER RD, St. Charles, MO 63303

Other Names 1

Former Name (1)Stacey Young

Secondary Practice Locations 2

Location 11001 Lynch StSaint Louis, MO 63118-1818 · Phone (314) 535-5600
Location 21570 S Main StSaint Charles, MO 63303-4149 · Phone (636) 224-1000

Accepted 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)

Stacey D Middleton Ma, Lpc 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.

Other Providers at the Same Location NPPES 12

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

Counselor
1601 OLD SOUTH RIVER RD
SAINT CHARLES, MO 63303
Registered Nurse
1601 OLD SOUTH RIVER RD
SAINT CHARLES, MO 63303
Social Worker
1601 OLD SOUTH RIVER RD
SAINT CHARLES, MO 63303
Social Worker
1601 OLD SOUTH RIVER RD
SAINT CHARLES, MO 63303
Licensed Practical Nurse
1601 OLD SOUTH RIVER RD
SAINT CHARLES, MO 63303
Counselor (Professional)
1601 OLD SOUTH RIVER RD
SAINT CHARLES, MO 63303
Social Worker (Clinical)
1601 OLD SOUTH RIVER RD
SAINT CHARLES, MO 63303
Social Worker (Clinical)
1601 OLD SOUTH RIVER RD
SAINT CHARLES, MO 63303

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 Stacey Middleton's NPI number?

The NPI number for Stacey Middleton is 1053766063. It was assigned to this individual provider in the NPPES registry on April 27, 2016. The provider is also known as Stacey Young.

Where is Stacey Middleton located?

Stacey Middleton practices at 1601 Old South River Rd, St. Charles, MO 63303. The listed phone number is (636) 224-1029.

What is Stacey Middleton's specialty?

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

Is Stacey Middleton enrolled in Medicare?

Yes. Stacey Middleton is registered in the Medicare PECOS enrollment system.

What insurance does Stacey Middleton accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 4 other insurers list Stacey Middleton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stacey Middleton was last updated on March 16, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.