STACI N. DAUGHERTY LPCC
NPI 1114206356
Counselor - Professional in Whitley City, KY

Active since August 05, 2011PECOS Enrolled
65 CENTER AVE, WHITLEY CITY, KY 42653(606) 376-3344 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 9, 2020, Jan 9, 2019 (2 updates tracked since 2019).

About Staci N. Daugherty Lpcc NPPES

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

STACI N. DAUGHERTY LPCC (NPI 1114206356) is an individual professional provider in Whitley City, Kentucky, licensed in Kentucky (103380) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1114206356
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSTACI N. DAUGHERTYCredential: LPCC
Location Address65 CENTER AVEWhitley City, KY 42653-4380
Mailing Address76 Medical Ln.Whitley City, KY 42653 · (606) 376-3344
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateAugust 5, 2011
Last NPPES UpdateApril 17, 20252 updates tracked since enumeration
NPPES CertifiedApril 11, 2025
NPI 1114206356 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 KY · 103380
65 CENTER AVE, Whitley City, KY 42653

Other Names 1

Former Name (1)Staci N. Daugherty

Other Identifiers 1

Medicaid7100285790KY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Staci N. Daugherty Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2668968066
PECOS Enrollment IDI20260106002472
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 (Mental Health)
65 CENTER AVE
WHITLEY CITY, KY 42653
Counselor
65 CENTER AVE
WHITLEY CITY, KY 42653
Counselor (Professional)
65 CENTER AVE
WHITLEY CITY, KY 42653
Clinic/Center (Rural Health)
65 CENTER AVE
WHITLEY CITY, KY 42653
Substance Abuse Rehabilitation Facility
65 CENTER AVE
WHITLEY CITY, KY 42653
Counselor (Professional)
65 CENTER AVE
WHITLEY CITY, KY 42653
Clinic/Center (Rural Health)
65 CENTER AVE
WHITLEY CITY, KY 42653
Nurse Practitioner (Family)
65 CENTER AVE
WHITLEY CITY, KY 42653

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 Staci Daugherty's NPI number?

The NPI number for Staci Daugherty is 1114206356. It was assigned to this individual provider in the NPPES registry on August 5, 2011. The provider is also known as Staci N. Daugherty.

Where is Staci Daugherty located?

Staci Daugherty practices at 65 Center Ave, Whitley City, KY 42653. The listed phone number is (606) 376-3344.

What is Staci Daugherty's specialty?

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

Is Staci Daugherty enrolled in Medicare?

Yes. Staci Daugherty is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Staci Daugherty was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.