STACEYANN REID LMHC
NPI 1376182881
Counselor - Mental Health in Syracuse, NY

Q: What is Staceyann Reid's NPI number?

The NPI number for Staceyann Reid is 1376182881. It was assigned to this individual provider in the NPPES registry on December 31, 2019.

Q: What is Staceyann Reid's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Staceyann Reid was last updated on April 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since December 31, 2019PECOS Enrolled

719 HARRISON ST, SYRACUSE, NY 13210(315) 464-3265(315) 464-3282 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 7, 2026, Dec 31, 2019 (2 updates tracked since 2019).

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About Staceyann Reid Lmhc NPPES

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

STACEYANN REID LMHC (NPI 1376182881) is an individual mental health provider in Syracuse, New York, licensed in New York (010043) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Liverpool, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1376182881

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameSTACEYANN REIDCredential: LMHC

Location Address719 HARRISON STSyracuse, NY 13210-2695

Mailing Address719 Harrison StSyracuse, NY 13210-2695 · (315) 464-3265 · Fax (315) 464-3282

Phone(315) 464-3265

Fax(315) 464-3282

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateDecember 31, 2019

Last NPPES UpdateApril 7, 20262 updates tracked since enumeration

NPPES CertifiedApril 7, 2026

✔ NPI 1376182881 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in NY · 010043

719 HARRISON ST, Syracuse, NY 13210

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Secondary Practice Location 1

Location 1913 Old Liverpool RdLiverpool, NY 13088-5757 · Phone (315) 238-2141

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Staceyann Reid Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1850869751

PECOS Enrollment IDI20260508002765

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 20

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

WURAOLA SOFOWOTE

Nurse Practitioner (Psychiatric/Mental Health)