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SUSAN MICHELLE STACY C-PRSS
NPI 1124511639
Peer Specialist in Mcloud, OK

Active since June 08, 2018
105365 S HIGHWAY 102, MCLOUD, OK 74851(405) 988-2071 Get Directions Write a Review

NPPES record last updated: November 7, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Susan Michelle Stacy C-prss NPPES

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

SUSAN MICHELLE STACY C-PRSS (NPI 1124511639) is an individual peer specialist in Mcloud, Oklahoma, licensed in Oklahoma (132075) and active in the NPI registry since June 2018.

NPPES Registry Identity

NPI1124511639
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameSUSAN MICHELLE STACYCredential: C-PRSS
Location Address105365 S HIGHWAY 102Mcloud, OK 74851-3051
Mailing Address105365 S Highway 102Mcloud, OK 74851-3051 · (405) 988-2071
Phone(405) 988-2071
Sole ProprietorNo
Enumeration DateJune 8, 2018
Last NPPES UpdateNovember 7, 2022
NPPES CertifiedNovember 7, 2022
✔ NPI 1124511639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Licenses✔ Licensed in OK · 132075✔ Licensed in OK · 13205
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Also ListedSocial WorkerTaxonomy 104100000X
105365 S HIGHWAY 102, Mcloud, OK 74851
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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.

CHRISTINE PACHECO LCSW
Social Worker (Clinical)
105365 S HIGHWAY 102
MCLOUD, OK 74851
Pottawatomie County (405) 964-2081
GABRIELA MARIA SMITH LCSW
Social Worker (Clinical)
105365 S HIGHWAY 102
MCLOUD, OK 74851
Pottawatomie County (405) 964-2618
DALEY TEARL LMFT, LADC
Marriage & Family Therapist
105365 S HIGHWAY 102
MCLOUD, OK 74851
Pottawatomie County (405) 964-2081
CARLA RENEE SUMANO
Case Manager/Care Coordinator
105365 S HIGHWAY 102
MCLOUD, OK 74851
Pottawatomie County (405) 964-2618
ABIGAIL ELIZABETH MUISE PHARM.D
Pharmacist
105365 S HIGHWAY 102
MCLOUD, OK 74851
Pottawatomie County (405) 964-2081
MASUMAH A AMIL
Pharmacist
105365 S HIGHWAY 102
MCLOUD, OK 74851
Pottawatomie County (405) 964-2081
NATHAN HEATH HOBBS
Pharmacist
105365 S HIGHWAY 102
MCLOUD, OK 74851
Pottawatomie County (405) 964-2081
AMANDA GARNER
Physician Assistant (Medical)
105365 S HIGHWAY 102
MCLOUD, OK 74851
Pottawatomie County (405) 964-2081

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 Susan Stacy's NPI number?

The NPI number for Susan Stacy is 1124511639. It was assigned to this individual provider in the NPPES registry on June 8, 2018.

Where is Susan Stacy located?

Susan Stacy practices at 105365 S Highway 102, Mcloud, OK 74851. The listed phone number is (405) 988-2071.

What is Susan Stacy's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Susan Stacy was last updated on November 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.