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STACY MARTIN LPC, LAC, CACI
NPI 1407239585
Counselor - Professional in Greenville, SC

Active since July 07, 2015Opted out of Medicare · through May 7, 2027
301 HALTON RD STE F, GREENVILLE, SC 29607(864) 479-4226 Get Directions Write a Review

NPPES record last updated: August 14, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 14, 2023, Apr 8, 2020 (2 updates tracked since 2020).

About Stacy Martin Lpc, Lac, Caci NPPES

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

STACY MARTIN LPC, LAC, CACI (NPI 1407239585) is an individual professional provider in Greenville, South Carolina, licensed in South Carolina (6779) and active in the NPI registry since July 2015. She has opted out of Medicare through May 7, 2027.

NPPES Registry Identity

NPI1407239585
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSTACY MARTINCredential: LPC, LAC, CACI
Location Address301 HALTON RD STE FGreenville, SC 29607-3498
Mailing Address301 Halton Rd Ste FGreenville, SC 29607-3498 · (864) 479-4226
Phone(864) 479-4226
Sole ProprietorNo
Enumeration DateJuly 7, 2015
Last NPPES UpdateAugust 14, 20232 updates tracked since enumeration
NPPES CertifiedAugust 14, 2023
✔ NPI 1407239585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in SC · 6779
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 454 (SC), 1802226 (SC)
301 HALTON RD STE F, Greenville, SC 29607
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Stacy Martin Lpc, Lac, Caci has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 7, 2025 through May 7, 2027.

Opt-Out Effective DateMay 7, 2025
Opt-Out In Effect ThroughMay 7, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 Stacy Martin's NPI number?

The NPI number for Stacy Martin is 1407239585. It was assigned to this individual provider in the NPPES registry on July 7, 2015.

Where is Stacy Martin located?

Stacy Martin practices at 301 Halton Rd Ste F, Greenville, SC 29607. The listed phone number is (864) 479-4226.

What is Stacy Martin's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Stacy Martin enrolled in Medicare?

No. Stacy Martin has opted out of Medicare through May 7, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Stacy Martin was last updated on August 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.