STACEY LYNN PORRECA
NPI 1396905386
Counselor in Westland, MI

Q: What is Stacey Porreca's NPI number?

The NPI number for Stacey Porreca is 1396905386. It was assigned to this individual provider in the NPPES registry on June 12, 2008.

Q: What is Stacey Porreca's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Stacey Porreca was last updated on June 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since June 12, 2008PECOS Enrolled

1547 S WAYNE RD, WESTLAND, MI 48186(734) 405-0176 Get Directions Write a Review

NPPES record last updated: June 12, 2008. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Stacey Lynn Porreca NPPES

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

STACEY LYNN PORRECA (NPI 1396905386) is an individual counselor in Westland, Michigan, licensed in Michigan (6801068161) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS and is a graduate of Other (1994).

NPPES Registry Identity

NPI1396905386

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameSTACEY LYNN PORRECA

Location Address1547 S WAYNE RDWestland, MI 48186-5436

Mailing Address1547 S Wayne RdWestland, MI 48181 · (734) 405-0176 · Fax (734) 404-0184

Phone(734) 405-0176

Sole ProprietorYes

Medical School CMSOtherGraduated 1994

Enumeration DateJune 12, 2008

✔ NPI 1396905386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in MI · 6801068161

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 6801068161 (MI)

1547 S WAYNE RD, Westland, MI 48186

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Other Identifiers 2

Other6801068161MI · Apex Behavioral Health Tax Id

Other383501869MI · Apex Behavioral Health Tax Id

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Priority Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacey Lynn Porreca is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID941446033

PECOS Enrollment IDI20130416000247

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 18

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

FANNY ELIZABETH GUTIERREZ-MEYERS LMSW

Social Worker (Clinical)