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KRISTEN MICHELLE STACK LPC
NPI 1174893994
Counselor - Professional in Ramsey, NJ

Active since January 10, 2012PECOS Enrolled
271 REDWOOD CT, RAMSEY, NJ 07446(201) 669-9316 Get Directions Write a Review

NPPES record last updated: January 30, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kristen Michelle Stack Lpc NPPES

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

KRISTEN MICHELLE STACK LPC (NPI 1174893994) is an individual professional provider in Ramsey, New Jersey, licensed in New Jersey (37PC00424500) and active in the NPI registry since January 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174893994
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKRISTEN MICHELLE STACKCredential: LPC
Location Address271 REDWOOD CTRamsey, NJ 07446-1188
Mailing Address271 Redwood CtRamsey, NJ 07446-1188 · (201) 669-9316
Phone(201) 669-9316
Sole ProprietorYes
Enumeration DateJanuary 10, 2012
Last NPPES UpdateJanuary 30, 2024
NPPES CertifiedJanuary 30, 2024
✔ NPI 1174893994 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 NJ · 37PC00424500
271 REDWOOD CT, Ramsey, NJ 07446
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristen Michelle Stack Lpc 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

What is Kristen Stack's NPI number?

The NPI number assigned to this healthcare provider is 1174893994, enumerated as an "individual" on January 10, 2012.

Where is the provider located?

The provider is located at 271 REDWOOD CT RAMSEY, NJ 07446 and the phone number is (201) 669-9316.

What is the provider's specialty?

Counselor with taxonomy code 101YP2500X and a focus in Professional.