DR. PATRICK CHARLES STACK D.MIN
NPI 1407062383
Counselor - Addiction (Substance Use Disorder) in Kirkwood, MO

Q: What is Patrick Stack's NPI number?

The NPI number for Patrick Stack is 1407062383. It was assigned to this individual provider in the NPPES registry on May 15, 2007.

Q: What is Patrick Stack's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Patrick Stack was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 May 15, 2007

10702 MANCHESTER RD, KIRKWOOD, MO 63122(314) 966-1022(314) 968-7126 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Patrick Charles Stack D.min NPPES

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

DR. PATRICK CHARLES STACK D.MIN (NPI 1407062383) is an individual addiction (substance use disorder) provider in Kirkwood, Missouri, licensed in Missouri (2775) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1407062383

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameDR. PATRICK CHARLES STACKCredential: D.MIN

Location Address10702 MANCHESTER RDKirkwood, MO 63122-1321

Mailing Address11 Villawood LnWebster Groves, MO 63119-4916 · (314) 963-1962 · Fax (314) 968-7126

Phone(314) 966-1022

Fax(314) 968-7126

Sole ProprietorYes

Enumeration DateMay 15, 2007

Last NPPES UpdateSeptember 11, 2025

✔ NPI 1407062383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in MO · 2775

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 000122 (MO)

Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License 300107 (MO)

10702 MANCHESTER RD, Kirkwood, MO 63122

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Other Providers at the Same Location NPPES 2

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

REVA FABER LPC

Counselor (Professional)

10702 MANCHESTER RD, STE 201
KIRKWOOD, MO 63122

St. Louis County (314) 529-1595

MR. JULIAN MARASIGAN PLPC

Counselor (Professional)

10702 MANCHESTER RD, SUITE 201
KIRKWOOD, MO 63122

St. Louis County (314) 529-1595

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 Patrick Stack's NPI number?

The NPI number for Patrick Stack is 1407062383. It was assigned to this individual provider in the NPPES registry on May 15, 2007.

Where is Patrick Stack located?

Patrick Stack practices at 10702 Manchester Rd, Kirkwood, MO 63122. The listed phone number is (314) 966-1022.

What is Patrick Stack's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Patrick Stack was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.