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STACY MELISSA ISHACK
NPI 1124786546
Counselor - Professional in Bridgeport, CT

Active since December 02, 2021PECOS Enrolled
475 CLINTON AVE, BRIDGEPORT, CT 06605(203) 368-5500 Get Directions Write a Review

NPPES record last updated: December 2, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Stacy Melissa Ishack NPPES

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

STACY MELISSA ISHACK (NPI 1124786546) is an individual professional provider in Bridgeport, Connecticut, licensed in Connecticut (5029) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124786546
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSTACY MELISSA ISHACK
Location Address475 CLINTON AVEBridgeport, CT 06605-1700
Mailing Address475 Clinton AveBridgeport, CT 06605-1700 · (203) 368-5500
Phone(203) 368-5500
Sole ProprietorNo
Enumeration DateDecember 2, 2021
NPPES CertifiedDecember 2, 2021
✔ NPI 1124786546 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 CT · 5029
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 5029 (CT)
475 CLINTON AVE, Bridgeport, CT 06605
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Cigna Healthcare, Cigna HealthCare of Florida, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacy Melissa Ishack 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.

Medicare Billing Reassignment

Medicare enrollment records show Stacy Ishack reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PA
1,134 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Connecticut and Florida enrollments
  • 613 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

MARCELA HAENDLER LPC
Counselor (Professional)
475 CLINTON AVE
BRIDGEPORT, CT 06605
Greater Bridgeport Planning Region (203) 368-4291
TONYA L WILLIAMS
Counselor (Professional)
475 CLINTON AVE
BRIDGEPORT, CT 06605
Greater Bridgeport Planning Region (203) 368-5529
BARBARA KELLY LPC
Counselor (Professional)
475 CLINTON AVE
BRIDGEPORT, CT 06605
Greater Bridgeport Planning Region (203) 368-5515
FSW,INC.
Community/Behavioral Health
475 CLINTON AVE
BRIDGEPORT, CT 06605
Greater Bridgeport Planning Region (203) 368-4291
SONIA COSTA
Counselor (Professional)
475 CLINTON AVE
BRIDGEPORT, CT 06605
Greater Bridgeport Planning Region (203) 368-4291
EDICSON OROZCO LPC
Counselor (Professional)
475 CLINTON AVE
BRIDGEPORT, CT 06605
Greater Bridgeport Planning Region (203) 368-4291
BARBARA CUNARD LPC
Counselor (Professional)
475 CLINTON AVE
BRIDGEPORT, CT 06605
Greater Bridgeport Planning Region (203) 368-4291
DUANE ISABELLA LPC
Counselor (Professional)
475 CLINTON AVE
BRIDGEPORT, CT 06605
Greater Bridgeport Planning Region (203) 368-4291

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 Ishack's NPI number?

The NPI number for Stacy Ishack is 1124786546. It was assigned to this individual provider in the NPPES registry on December 2, 2021.

Where is Stacy Ishack located?

Stacy Ishack practices at 475 Clinton Ave, Bridgeport, CT 06605. The listed phone number is (203) 368-5500.

What is Stacy Ishack's specialty?

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

Is Stacy Ishack enrolled in Medicare?

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

Which organization bills Medicare for Stacy Ishack's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacy Ishack reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stacy Ishack's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stacy Ishack accept?

Health plans from Anthem Blue Cross and Blue Shield, Cigna HealthCare of Florida, Inc. and Cigna Healthcare list Stacy Ishack 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 Ishack was last updated on December 2, 2021. 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.