MR. JOHN LEROY STACY JR. CSAC, LPC
NPI 1306182795
Counselor - Professional in Norfolk, VA

Active since December 12, 2012PECOS EnrolledAccepts Medicare Assignment
1216 GRANBY ST STE 211, NORFOLK, VA 23510(757) 632-0343 Get Directions Write a Review

NPPES record last updated: April 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 17, 2024, Aug 17, 2023, Feb 7, 2023 and 1 more (4 updates tracked since 2019).

About Mr. John Leroy Stacy Jr. Csac, Lpc NPPES

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

MR. JOHN LEROY STACY JR. CSAC, LPC (NPI 1306182795) is an individual professional provider in Norfolk, Virginia, licensed in Virginia (0701006465) and active in the NPI registry since December 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1306182795
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. JOHN LEROY STACY JR.Credential: CSAC, LPC
Location Address1216 GRANBY ST STE 211Norfolk, VA 23510-2622
Mailing Address1216 Granby St Ste 211Norfolk, VA 23510-2622 · (757) 632-0343
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateDecember 12, 2012
Last NPPES UpdateApril 17, 20244 updates tracked since enumeration
NPPES CertifiedApril 17, 2024
NPI 1306182795 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 VA · 0701006465
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 0710102681 (VA)
1216 GRANBY ST STE 211, Norfolk, VA 23510

Other Identifiers 1

Medicaid1245936616VA

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

Mr. John Leroy Stacy Jr. Csac, Lpc 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.

PECOS PAC ID2961843131
PECOS Enrollment IDI20240628000729
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 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
1216 GRANBY ST STE 211
NORFOLK, VA 23510
Counselor (Professional)
1216 GRANBY ST STE 211
NORFOLK, VA 23510

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 John Stacy's NPI number?

The NPI number for John Stacy is 1306182795. It was assigned to this individual provider in the NPPES registry on December 12, 2012.

Where is John Stacy located?

John Stacy practices at 1216 Granby St Ste 211, Norfolk, VA 23510. The listed phone number is (757) 632-0343.

What is John Stacy's specialty?

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

Is John Stacy enrolled in Medicare?

Yes. John Stacy 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 John Stacy accept?

Health plans from Providence Health Plan list John Stacy 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 John Stacy was last updated on April 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.