STACEY M BEVILACQUA LMHC, CASAC, MA
NPI 1619073756
Counselor - Mental Health in Orchard Park, NY

Active since September 16, 2006
6099 NEW TAYLOR RD, RIGHT SIDE, ORCHARD PARK, NY 14127(716) 800-1766 Get Directions Write a Review

NPPES record last updated: March 22, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 22, 2023, Aug 24, 2020 (2 updates tracked since 2020).

About Stacey M Bevilacqua Lmhc, Casac, Ma NPPES

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

STACEY M BEVILACQUA LMHC, CASAC, MA (NPI 1619073756) is an individual mental health provider in Orchard Park, New York, licensed in New York (004210-01) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1619073756
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSTACEY M BEVILACQUACredential: LMHC, CASAC, MA
Location Address6099 NEW TAYLOR RD, RIGHT SIDEOrchard Park, NY 14127-2385
Mailing Address6099 New Taylor Rd, Right SideOrchard Park, NY 14127 · (716) 316-4990
Sole ProprietorNo
Enumeration DateSeptember 16, 2006
Last NPPES UpdateMarch 22, 20232 updates tracked since enumeration
NPPES CertifiedMarch 22, 2023
NPI 1619073756 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 · 004210-01
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 22894 (NY)
6099 NEW TAYLOR RD, Orchard Park, NY 14127

Other Names 1

Former Name (1)Stacey M Hassett Lmhc, Casac, Ma

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 Bevilacqua's NPI number?

The NPI number for Stacey Bevilacqua is 1619073756. It was assigned to this individual provider in the NPPES registry on September 16, 2006. The provider is also known as Stacey M Hassett Lmhc, Casac, Ma.

Where is Stacey Bevilacqua located?

Stacey Bevilacqua practices at 6099 New Taylor Rd Right Side, Orchard Park, NY 14127. The listed phone number is (716) 800-1766.

What is Stacey Bevilacqua'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 Stacey Bevilacqua was last updated on March 22, 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.