MS. STACY L PAUL MA, LPC, LICAC
NPI 1063505014
Counselor - Professional in Phoenix, AZ

Q: What is Stacy Paul's NPI number?

The NPI number for Stacy Paul is 1063505014. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Q: What is Stacy Paul's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Stacy Paul was last updated on February 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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 October 02, 2006PECOS Enrolled

4451 E OAK ST, PHOENIX, AZ 85008(602) 685-6000(602) 508-4492 Get Directions Write a Review

NPPES record last updated: February 2, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 2, 2026, Sep 11, 2025 (2 updates tracked since 2025).

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About Ms. Stacy L Paul Ma, Lpc, Licac NPPES

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

MS. STACY L PAUL MA, LPC, LICAC (NPI 1063505014) is an individual professional provider in Phoenix, Arizona, licensed in Arizona (LPC2397) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1063505014

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMS. STACY L PAULCredential: MA, LPC, LICAC

Location Address4451 E OAK STPhoenix, AZ 85008-2410

Mailing Address3003 N Central Ave Ste 400Phoenix, AZ 85012-2929 · (602) 685-6000 · Fax (602) 302-7925

Phone(602) 685-6000

Fax(602) 508-4492

Sole ProprietorNo

Medical School CMSOtherGraduated 1997

Enumeration DateOctober 2, 2006

Last NPPES UpdateFebruary 2, 20262 updates tracked since enumeration

NPPES CertifiedFebruary 2, 2026

✔ NPI 1063505014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in AZ · LPC2397

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License LISAC1626 (AZ)

4451 E OAK ST, Phoenix, AZ 85008

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Other Identifiers 1

Other644999AZ · Ahcccs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc., UnitedHealthcare.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)

Ms. Stacy L Paul Ma, Lpc, Licac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4789161654

PECOS Enrollment IDI20260122001035

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 11

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

MISS AUDREY CORSBERG ELLIOTT PMHNP

Nurse Practitioner (Psychiatric/Mental Health)