1. Home
  2. Directory
  3. NPI Profile

STACY NICOLE LUCE LCPC
NPI 1114286358
Counselor - Professional in Kootenai, ID

Active since May 09, 2012PECOS Enrolled
404 KOOTENAI ST, KOOTENAI, ID 83840(810) 845-4472 Get Directions Write a Review

NPPES record last updated: August 24, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 24, 2020, Apr 2, 2020 (2 updates tracked since 2020).

About Stacy Nicole Luce Lcpc NPPES

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

STACY NICOLE LUCE LCPC (NPI 1114286358) is an individual professional provider in Kootenai, Idaho, licensed in Idaho (LCPC-6335) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114286358
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSTACY NICOLE LUCECredential: LCPC
Location Address404 KOOTENAI STKootenai, ID 83840-0276
Mailing AddressPo Box 203Kootenai, ID 83840-0203 · (810) 845-4472
Phone(810) 845-4472
Sole ProprietorNo
Enumeration DateMay 9, 2012
Last NPPES UpdateAugust 24, 20202 updates tracked since enumeration
NPPES CertifiedAugust 6, 2020
✔ NPI 1114286358 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 ID · LCPC-6335
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License LCPC-6335 (ID)
404 KOOTENAI ST, Kootenai, ID 83840
Open in Google Maps ↗

Other Identifiers 1

Medicaid1114286358ID

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacy Nicole Luce Lcpc 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.

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 Luce's NPI number?

The NPI number for Stacy Luce is 1114286358. It was assigned to this individual provider in the NPPES registry on May 9, 2012.

Where is Stacy Luce located?

Stacy Luce practices at 404 Kootenai St, Kootenai, ID 83840. The listed phone number is (810) 845-4472.

What is Stacy Luce's specialty?

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

Is Stacy Luce enrolled in Medicare?

Yes. Stacy Luce is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stacy Luce was last updated on August 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.