STACI KOETTER LPC
NPI 1366089054
Counselor - Professional in Wichita Falls, TX

Active since December 02, 2019PECOS EnrolledAccepts Medicare Assignment
1800 ROSE ST, WICHITA FALLS, TX 76301(940) 723-4488 Get Directions Write a Review

NPPES record last updated: December 2, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Staci Koetter Lpc NPPES

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

STACI KOETTER LPC (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

NPI1366089054
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSTACI KOETTERCredential: LPC
Location Address1800 ROSE STWichita Falls, TX 76301-4219
Mailing Address1808 Rose StWichita Falls, TX 76301-4219 · (940) 723-4488
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateDecember 2, 2019
NPI 1366089054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
1800 ROSE ST, Wichita Falls, TX 76301

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 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 ID749638914
PECOS Enrollment IDI20240507003122
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 17

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

Marriage & Family Therapist
1800 ROSE ST
WICHITA FALLS, TX 76301
Counselor
1800 ROSE ST
WICHITA FALLS, TX 76301
Nurse Practitioner (Psychiatric/Mental Health)
1800 ROSE ST
WICHITA FALLS, TX 76301
Behavior Analyst
1800 ROSE ST
WICHITA FALLS, TX 76301
Psychologist (Clinical)
1800 ROSE ST
WICHITA FALLS, TX 76301
Counselor (Professional)
1800 ROSE ST
WICHITA FALLS, TX 76301
Behavior Analyst
1800 ROSE ST
WICHITA FALLS, TX 76301
Counselor (Professional)
1800 ROSE ST
WICHITA FALLS, TX 76301

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 1800 Rose St, 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 December 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.