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STACEY KATHERYN LUNDQUIST LGPC
NPI 1508330903
Counselor in Bowie, MD

Active since January 18, 2019PECOS EnrolledAccepts Medicare Assignment
3060 MICHELLVILLE RD, SUITE 106, BOWIE, MD 20716(410) 893-4600(443) 640-4358 Get Directions Write a Review

NPPES record last updated: January 18, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Stacey Katheryn Lundquist Lgpc NPPES

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

STACEY KATHERYN LUNDQUIST LGPC (NPI 1508330903) is an individual counselor in Bowie, Maryland, licensed in Maryland (LGP8365) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1508330903
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameSTACEY KATHERYN LUNDQUISTCredential: LGPC
Location Address3060 MICHELLVILLE RD, SUITE 106Bowie, MD 20716
Mailing Address7316 Bramblebush TerLaurel, MD 20707-9514 · (646) 532-8486
Phone(410) 893-4600
Fax(443) 640-4358
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJanuary 18, 2019
✔ NPI 1508330903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in MD · LGP8365
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.
3060 MICHELLVILLE RD, Bowie, MD 20716
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Stacey Katheryn Lundquist Lgpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5597202432
PECOS Enrollment IDI20240808003990
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.

Medicare Billing Reassignment

Medicare enrollment records show Stacey Lundquist reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Safe Harbor Behavioral Care, LLC
45 mi
Clinical
2227 OLD EMMORTON RD, STE 119
Bel Air, MD 21015
  • Reassigned Medicare billing, Maryland enrollment
  • 131 clinicians in this Medicare group
NPI 1316487879 (410) 893-4600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Stacey Lundquist's NPI number?

The NPI number for Stacey Lundquist is 1508330903. It was assigned to this individual provider in the NPPES registry on January 18, 2019.

Where is Stacey Lundquist located?

Stacey Lundquist practices at 3060 Michellville Rd Suite 106, Bowie, MD 20716. The listed phone number is (410) 893-4600.

What is Stacey Lundquist's specialty?

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

Is Stacey Lundquist enrolled in Medicare?

Yes. Stacey Lundquist is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Stacey Lundquist's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacey Lundquist reassigns Medicare benefits to Safe Harbor Behavioral Care, LLC (Bel Air, MD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stacey Lundquist's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Stacey Lundquist was last updated on January 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.