STACI KOETTER LPC-S
NPI 1366089054
Counselor - Professional in Wichita Falls, TX
About Staci Koetter Lpc-s NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STACI KOETTER LPC-S (NPI 1366089054) is an individual professional provider in Wichita Falls, Texas and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
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
Staci Koetter Lpc-s 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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Staci Koetter's NPI number?
The NPI number for Staci Koetter is 1366089054. It was assigned to this individual provider in the NPPES registry on December 2, 2019.
Where is Staci Koetter located?
Staci Koetter practices at 1501 Brook Ave, Wichita Falls, TX 76301. The listed phone number is (940) 723-4488.
What is Staci Koetter's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Staci Koetter enrolled in Medicare?
Yes. Staci Koetter 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 Staci Koetter accept?
Health plans from Blue Cross and Blue Shield of Texas list Staci Koetter 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 Staci Koetter was last updated on September 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.
# Staci Koetter, LPC-S · NPI 1366089054
Professional provider in Wichita Falls, Texas. Individual provider, active in the CMS NPPES registry since December 2, 2019.
## Identity
- **NPI:** 1366089054 (Entity type: Individual)
- **Enumerated:** December 2, 2019
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1501 BROOK AVE, Wichita Falls, TX 76301-5657
- **Phone:** (940) 723-4488
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** September 7, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1366089054) · Data from the CMS NPPES public registry.