MS. STACY DANIEL SAMPSON LPC
NPI 1104190230
Counselor - Professional in Athens, GA

Active since March 07, 2012PECOS EnrolledAccepts Medicare Assignment
585 RESEARCH DR, SUITE B, ATHENS, GA 30605(706) 543-3522(706) 543-3523 Get Directions Write a Review

NPPES record last updated: December 3, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Stacy Daniel Sampson Lpc NPPES

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

MS. STACY DANIEL SAMPSON LPC (NPI 1104190230) is an individual professional provider in Athens, Georgia, licensed in Georgia (006719) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1104190230
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. STACY DANIEL SAMPSONCredential: LPC
Location Address585 RESEARCH DR, SUITE BAthens, GA 30605-2788
Mailing Address585 Research Dr, Suite BAthens, GA 30605-2788 · (706) 543-3522 · Fax (706) 543-3523
Fax(706) 543-3523
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateMarch 7, 2012
Last NPPES UpdateDecember 3, 2012
NPI 1104190230 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 GA · 006719
585 RESEARCH DR, Athens, GA 30605

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 and accepts Medicare assignment

Ms. Stacy Daniel Sampson Lpc 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 ID3173992617
PECOS Enrollment IDI20250219003613
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.

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 Sampson's NPI number?

The NPI number for Stacy Sampson is 1104190230. It was assigned to this individual provider in the NPPES registry on March 7, 2012.

Where is Stacy Sampson located?

Stacy Sampson practices at 585 Research Dr Suite B, Athens, GA 30605. The listed phone number is (706) 543-3522.

What is Stacy Sampson's specialty?

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

Is Stacy Sampson enrolled in Medicare?

Yes. Stacy Sampson 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 Stacy Sampson accept?

Health plans from Alliant Health Plans, Inc. list Stacy Sampson 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 Stacy Sampson was last updated on December 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.