MS. STACEY ABIGAIL MOHAMED MHC-LP
NPI 1548811672
Counselor - Addiction (Substance Use Disorder) in Jamaica, NY
About Ms. Stacey Abigail Mohamed Mhc-lp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. STACEY ABIGAIL MOHAMED MHC-LP (NPI 1548811672) is an individual addiction (substance use disorder) provider in Jamaica, New York, licensed in New York (P102570) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Stacey Abigail Mohamed Mhc-lp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Mohamed's NPI number?
The NPI number for Stacey Mohamed is 1548811672. It was assigned to this individual provider in the NPPES registry on September 20, 2019.
Where is Stacey Mohamed located?
Stacey Mohamed practices at 16318 Jamaica Ave, Jamaica, NY 11432. The listed phone number is (718) 658-0010.
What is Stacey Mohamed's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.
Is Stacey Mohamed enrolled in Medicare?
Yes. Stacey Mohamed is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Stacey Mohamed was last updated on September 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Ms. Stacey Abigail Mohamed, MHC-LP · NPI 1548811672
Addiction (Substance Use Disorder) provider in Jamaica, New York. Individual provider, active in the CMS NPPES registry since September 20, 2019.
## Identity
- **NPI:** 1548811672 (Entity type: Individual)
- **Enumerated:** September 20, 2019
- **Primary specialty:** Counselor - Addiction (Substance Use Disorder) · taxonomy 101YA0400X
- **State license:** P102570 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 16318 JAMAICA AVE, Jamaica, NY 11432-4919
- **Phone:** (718) 658-0010 · **Fax:** (718) 658-2909
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** September 20, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1548811672) · Data from the CMS NPPES public registry.