STACEY DAWN DAVIS LCPC
NPI 1316413818
Counselor - Professional in Kansas City, MO

Q: What is Stacey Davis's NPI number?

The NPI number for Stacey Davis is 1316413818. It was assigned to this individual provider in the NPPES registry on October 23, 2018.

Q: What is Stacey Davis's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Stacey Davis was last updated on February 13, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 23, 2018PECOS EnrolledAccepts Medicare Assignment

9001 STATE LINE RD STE 300, KANSAS CITY, MO 64114(816) 363-2600(816) 523-0068 Get Directions Write a Review

NPPES record last updated: February 13, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 13, 2025, Oct 23, 2018 (2 updates tracked since 2018).

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About Stacey Dawn Davis Lcpc NPPES

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

STACEY DAWN DAVIS LCPC (NPI 1316413818) is an individual professional provider in Kansas City, Missouri, licensed in Missouri (2001007479) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS and is a graduate of Other (1994).

NPPES Registry Identity

NPI1316413818

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameSTACEY DAWN DAVISCredential: LCPC

Location Address9001 STATE LINE RD STE 300Kansas City, MO 64114-3212

Mailing Address9001 State Line Rd Ste 300Kansas City, MO 64114-3212 · (816) 363-2600 · Fax (816) 523-0068

Phone(816) 363-2600

Fax(816) 523-0068

Sole ProprietorNo

Medical School CMSOtherGraduated 1994

Enumeration DateOctober 23, 2018

Last NPPES UpdateFebruary 13, 20252 updates tracked since enumeration

NPPES CertifiedFebruary 13, 2025

✔ NPI 1316413818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

Licenses✔ Licensed in MO · 2001007479✔ Licensed in KS · 03723

9001 STATE LINE RD STE 300, Kansas City, MO 64114

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, Medica and more.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

Stacey Dawn Davis Lcpc 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 ID6002336989

PECOS Enrollment IDI20250221002167, I20250221002347

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.

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Other Providers at the Same Location NPPES 19

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

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