STACI GLEE BRYSON-DES RAULT LMHC
NPI 1457617920
Counselor - Mental Health in Massapequa, NY

Q: What is Staci Bryson-des Rault's NPI number?

The NPI number for Staci Bryson-des Rault is 1457617920. It was assigned to this individual provider in the NPPES registry on April 9, 2012. The provider is also known as Staci Glee Bryson Des Rault Lmhc.

Q: What is Staci Bryson-des Rault's specialty?

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

Active since April 09, 2012

90 N WALNUT ST, MASSAPEQUA, NY 11758(631) 542-2501 Get Directions Write a Review

NPPES record last updated: September 8, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 8, 2021, Mar 18, 2021 (2 updates tracked since 2021).

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About Staci Glee Bryson-des Rault Lmhc NPPES

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

STACI GLEE BRYSON-DES RAULT LMHC (NPI 1457617920) is an individual mental health provider in Massapequa, New York, licensed in New York (005197) and active in the NPI registry since April 2012.

NPPES Registry Identity

NPI1457617920

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameSTACI GLEE BRYSON-DES RAULTCredential: LMHC

Location Address90 N WALNUT STMassapequa, NY 11758-3051

Mailing Address90 N Walnut StMassapequa, NY 11758-3051 · (631) 542-2501

Phone(631) 542-2501

Sole ProprietorYes

Enumeration DateApril 9, 2012

Last NPPES UpdateSeptember 8, 20212 updates tracked since enumeration

NPPES CertifiedSeptember 8, 2021

✔ NPI 1457617920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in NY · 005197

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

90 N WALNUT ST, Massapequa, NY 11758

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Other Names 1

Professional Name (2)Staci Glee Bryson Des Rault Lmhc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida, UnitedHealthcare.Insurance ›

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 Bryson-des Rault's NPI number?

The NPI number for Staci Bryson-des Rault is 1457617920. It was assigned to this individual provider in the NPPES registry on April 9, 2012. The provider is also known as Staci Glee Bryson Des Rault Lmhc.

Where is Staci Bryson-des Rault located?

Staci Bryson-des Rault practices at 90 N Walnut St, Massapequa, NY 11758. The listed phone number is (631) 542-2501.

What is Staci Bryson-des Rault's specialty?

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

What insurance does Staci Bryson-des Rault accept?

Health plans from Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Staci Bryson-des Rault 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 Bryson-des Rault was last updated on September 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.