MRS. STACEY DAMKOHLER LPC
NPI 1265140370
Counselor - Professional in North Brunswick, NJ
About Mrs. Stacey Damkohler Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. STACEY DAMKOHLER LPC (NPI 1265140370) is an individual professional provider in North Brunswick, New Jersey, licensed in New Jersey (37PC01138700) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Kents Store.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Stacey Damkohler Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Stacey Damkohler reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Francisco, CA 94131
- Reassigned Medicare billing, North Carolina enrollment
- Medicare enrollment name: Brightside Medical Of New Jersey PC
- 112 clinicians in this Medicare group
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 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NORTH BRUNSWICK, NJ 08902
NORTH BRUNSWICK, NJ 08902
NORTH BRUNSWICK, NJ 08902
NORTH BRUNSWICK, NJ 08902
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 Stacey Damkohler's NPI number?
The NPI number for Stacey Damkohler is 1265140370. It was assigned to this individual provider in the NPPES registry on November 8, 2022.
Where is Stacey Damkohler located?
Stacey Damkohler practices at 343 Old Georges Rd Ste 201, North Brunswick, NJ 08902. The listed phone number is (609) 969-3009.
What is Stacey Damkohler's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Stacey Damkohler enrolled in Medicare?
Yes. Stacey Damkohler is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Stacey Damkohler's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stacey Damkohler reassigns Medicare benefits to Brightside Medical Of New Jersey, P.C. (San Francisco, CA). 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 Stacey Damkohler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Stacey Damkohler accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of NC and UnitedHealthcare list Stacey Damkohler 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 Stacey Damkohler was last updated on June 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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. Stacey Damkohler, LPC · NPI 1265140370
Professional provider in North Brunswick, New Jersey. Individual provider, active in the CMS NPPES registry since November 8, 2022.
## Identity
- **NPI:** 1265140370 (Entity type: Individual)
- **Enumerated:** November 8, 2022
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 37PC01138700 (New Jersey)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 343 OLD GEORGES RD STE 201, North Brunswick, NJ 08902-4801
- **Phone:** (609) 969-3009
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Brightside Medical Of New Jersey, P.C. (NPI 1811524754, San Francisco, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 12, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1265140370) · Data from the CMS NPPES public registry.