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MRS. STACIE SMITH DAVIDSON LPCA
NPI 1194128264
Counselor - Mental Health in Charlotte, NC

Active since October 03, 2014PECOS Enrolled
4601 PARK RD STE 400, CHARLOTTE, NC 28209(704) 344-0491(704) 344-0493 Get Directions Write a Review

NPPES record last updated: October 3, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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.

NPPES Registry Identity

NPI1194128264
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. STACIE SMITH DAVIDSONCredential: LPCA
Location Address4601 PARK RD STE 400Charlotte, NC 28209-2284
Mailing Address4601 Park Rd Ste 400Charlotte, NC 28209-2284 · (704) 344-0491 · Fax (704) 344-0493
Phone(704) 344-0491
Fax(704) 344-0493
Sole ProprietorYes
Enumeration DateOctober 3, 2014
✔ NPI 1194128264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NC · A10824
4601 PARK RD STE 400, Charlotte, NC 28209
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Stacie Smith Davidson Lpca 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.

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.

MR. DERRICK LAVEL DAVIS SR. LPC
Counselor (Mental Health)
4601 PARK RD STE 400
CHARLOTTE, NC 28209
Mecklenburg County (704) 344-0491
MRS. MARLENA THOMAS LPC-A
Counselor (Mental Health)
4601 PARK RD STE 400
CHARLOTTE, NC 28209
Mecklenburg County (704) 344-0491
MS. BRITNEY MOBLEY PHIFER LMFT
Marriage & Family Therapist
4601 PARK RD STE 400
CHARLOTTE, NC 28209
Mecklenburg County (704) 344-0491

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 enrollment system.

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 11 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.