MRS. STACIE SMITH DAVIDSON LPCA
NPI 1194128264
Counselor - Mental Health in Charlotte, NC
About Mrs. Stacie Smith Davidson Lpca NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. STACIE SMITH DAVIDSON LPCA (NPI 1194128264) is an individual mental health provider in Charlotte, North Carolina, licensed in North Carolina (A10824) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Stacie Smith Davidson Lpca is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Stacie Davidson's NPI number?
The NPI number for Stacie Davidson is 1194128264. It was assigned to this individual provider in the NPPES registry on October 3, 2014.
Where is Stacie Davidson located?
Stacie Davidson practices at 4601 Park Rd Ste 400, Charlotte, NC 28209. The listed phone number is (704) 344-0491.
What is Stacie Davidson's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Stacie Davidson enrolled in Medicare?
Yes. Stacie Davidson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Stacie Davidson accept?
Health plans from Providence Health Plan list Stacie Davidson 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 Stacie Davidson was last updated on October 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Mrs. Stacie Smith Davidson, LPCA · NPI 1194128264
Mental Health provider in Charlotte, North Carolina. Individual provider, active in the CMS NPPES registry since October 3, 2014.
## Identity
- **NPI:** 1194128264 (Entity type: Individual)
- **Enumerated:** October 3, 2014
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** A10824 (North Carolina)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4601 PARK RD STE 400, Charlotte, NC 28209-2284
- **Phone:** (704) 344-0491 · **Fax:** (704) 344-0493
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** October 3, 2014
---
Source: [NPI Profile](https://npiprofile.com/npi/1194128264) · Data from the CMS NPPES public registry.