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STACEY SHUNAY STATEN
NPI 1316637101
Counselor - Professional in Arlington, TX

Active since May 15, 2023PECOS Enrolled
6419 TWIN SPRUCE CT, ARLINGTON, TX 76018(940) 642-3822 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 6, 2025, May 16, 2023 (2 updates tracked since 2023).

About Stacey Shunay Staten NPPES

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

STACEY SHUNAY STATEN (NPI 1316637101) is an individual professional provider in Arlington, Texas, licensed in Texas (84694) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Desoto.

NPPES Registry Identity

NPI1316637101
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSTACEY SHUNAY STATEN
Location Address6419 TWIN SPRUCE CTArlington, TX 76018-2943
Mailing Address6419 Twin Spruce CtArlington, TX 76018-2943
Phone(940) 642-3822
Sole ProprietorYes
Enumeration DateMay 15, 2023
Last NPPES UpdateAugust 6, 20252 updates tracked since enumeration
NPPES CertifiedAugust 6, 2025
✔ NPI 1316637101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in TX · 84694
6419 TWIN SPRUCE CT, Arlington, TX 76018
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Secondary Practice Location 1

Location 11534 N Hampton Rd Ste 200DeSoto, TX 75115-2493 · Phone (469) 941-4067 · Fax (469) 941-4091

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacey Shunay Staten 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.

Medicare Billing Reassignment

Medicare enrollment records show Stacey Staten reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Amazing Counseling And Rehabilitation Services, Incorporated
14 mi
Professional
1534 N HAMPTON RD # 200
Desoto, TX 75115
  • Reassigned Medicare billing, Texas enrollment
  • 4 clinicians in this Medicare group
NPI 1407301351 (469) 941-4067

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Staten's NPI number?

The NPI number for Stacey Staten is 1316637101. It was assigned to this individual provider in the NPPES registry on May 15, 2023.

Where is Stacey Staten located?

Stacey Staten practices at 6419 Twin Spruce Ct, Arlington, TX 76018. The listed phone number is (940) 642-3822.

What is Stacey Staten's specialty?

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

Is Stacey Staten enrolled in Medicare?

Yes. Stacey Staten is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Stacey Staten's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacey Staten reassigns Medicare benefits to Amazing Counseling And Rehabilitation Services, Incorporated (Desoto, TX). 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 Staten's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stacey Staten accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 7 other insurers list Stacey Staten 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 Staten was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.