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NICOLE VICTORIA ASHA STACK
NPI 1073265989
Counselor in Puyallup, WA

Active since January 21, 2022PECOS EnrolledAccepts Medicare Assignment
325 E PIONEER, PUYALLUP, WA 98372(253) 697-8400 Get Directions Write a Review

NPPES record last updated: January 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicole Victoria Asha Stack NPPES

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

NICOLE VICTORIA ASHA STACK (NPI 1073265989) is an individual counselor in Puyallup, Washington, licensed in Washington (CG61247305) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS, is affiliated with Tacoma General Allenmore Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1073265989
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameNICOLE VICTORIA ASHA STACK
Location Address325 E PIONEERPuyallup, WA 98372-3265
Mailing Address325 E PioneerPuyallup, WA 98372-3265 · (253) 697-8400
Phone(253) 697-8400
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJanuary 21, 2022
NPPES CertifiedJanuary 21, 2022
✔ NPI 1073265989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in WA · CG61247305
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.
325 E PIONEER, Puyallup, WA 98372
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Other Names 1

Former Name (1)Nicole Victoria Asha Killion

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

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

Nicole Victoria Asha Stack 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 ID6406361286
PECOS Enrollment IDI20250711001368
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Tacoma General Allenmore Hospital

Acute Care Hospitals · Tacoma, WA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500129
Location315 S Mlk Jr WayTacoma, WA 98405 · Pierce County
Emergency services Birthing friendly

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.

RAINY D THOMPSON
Counselor (Mental Health)
325 E PIONEER
PUYALLUP, WA 98372
Pierce County (253) 697-8452
REBECCA STOKER
Counselor (Mental Health)
325 E PIONEER
PUYALLUP, WA 98372
Pierce County (253) 697-8400
JORDAN ASHLEY MCCANN M.A.
Counselor (Mental Health)
325 E PIONEER
PUYALLUP, WA 98372
Pierce County (253) 697-8400
ALEXANDRA ISABEL MEEK MASTER SOCIAL WORKER
Social Worker (Clinical)
325 E PIONEER
PUYALLUP, WA 98372
Pierce County (253) 697-8400
CHANI TOAL
Counselor
325 E PIONEER
PUYALLUP, WA 98372
Pierce County (888) 910-6300
MISS ROZA CATHRINA BOCKELMAN LICSW, CDP
Social Worker (Clinical)
325 E PIONEER
PUYALLUP, WA 98372
Pierce County (253) 697-8400
AMANDA RENEE WATLING
Counselor (Mental Health)
325 E PIONEER
PUYALLUP, WA 98372
Pierce County (253) 445-8120
MARGARET A WOODS
Counselor
325 E PIONEER
PUYALLUP, WA 98372
Pierce County (253) 445-8120

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 Nicole Stack's NPI number?

The NPI number for Nicole Stack is 1073265989. It was assigned to this individual provider in the NPPES registry on January 21, 2022. The provider is also known as Nicole Victoria Asha Killion.

Where is Nicole Stack located?

Nicole Stack practices at 325 E Pioneer, Puyallup, WA 98372. The listed phone number is (253) 697-8400.

What is Nicole Stack's specialty?

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

Is Nicole Stack enrolled in Medicare?

Yes. Nicole Stack 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.

What insurance does Nicole Stack accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Nicole Stack 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.

Is Nicole Stack affiliated with any hospitals?

According to CMS data, Nicole Stack is affiliated with Tacoma General Allenmore Hospital.

When was this NPI record last updated?

The NPPES record for Nicole Stack was last updated on January 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.