STACI BURROUGH
NPI 1538801782
Counselor - Mental Health in Upper Marlboro, MD

Q: What is Staci Burrough's NPI number?

The NPI number for Staci Burrough is 1538801782. It was assigned to this individual provider in the NPPES registry on April 8, 2022.

Q: What is Staci Burrough's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Staci Burrough was last updated on April 8, 2022. 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.

Active since April 08, 2022

11510 PEGASUS CT, UPPER MARLBORO, MD 20772(240) 221-1617 Get Directions Write a Review

NPPES record last updated: April 8, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Staci Burrough NPPES

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

STACI BURROUGH (NPI 1538801782) is an individual mental health provider in Upper Marlboro, Maryland, licensed in Maryland (LGP11512) and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1538801782

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameSTACI BURROUGH

Location Address11510 PEGASUS CTUpper Marlboro, MD 20772-7823

Mailing Address11510 Pegasus CtUpper Marlboro, MD 20772-7823 · (240) 221-1617

Phone(240) 221-1617

Sole ProprietorNo

Enumeration DateApril 8, 2022

NPPES CertifiedApril 8, 2022

✔ NPI 1538801782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in MD · LGP11512

11510 PEGASUS CT, Upper Marlboro, MD 20772

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Other Providers at the Same Location NPPES

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

SUCCESSFUL LIFE COACHING AND COUNSELING SERVICES, LLC

Clinic/Center (Mental Health (Including Community Mental Health Center))

11510 PEGASUS CT
UPPER MARLBORO, MD 20772

Prince George's County (240) 221-1617

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 Burrough's NPI number?

The NPI number for Staci Burrough is 1538801782. It was assigned to this individual provider in the NPPES registry on April 8, 2022.

Where is Staci Burrough located?

Staci Burrough practices at 11510 Pegasus Ct, Upper Marlboro, MD 20772. The listed phone number is (240) 221-1617.

What is Staci Burrough's specialty?

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

When was this NPI record last updated?

The NPPES record for Staci Burrough was last updated on April 8, 2022. 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.