STACEY KING LPC IT
NPI 1649733189
Counselor - Professional in Brown Deer, WI
About Stacey King Lpc It NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STACEY KING LPC IT (NPI 1649733189) is an individual professional provider in Brown Deer, Wisconsin, licensed in Wisconsin (11960-125) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Appleton, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Stacey King Lpc It is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Stacey King reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Denver, CO 80202
- Reassigned Medicare billing, Wisconsin enrollment
- 28 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
MILWAUKEE, WI 53209
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 King's NPI number?
The NPI number for Stacey King is 1649733189. It was assigned to this individual provider in the NPPES registry on April 11, 2019. The provider is also known as Stacey King Substance Abuse.
Where is Stacey King located?
Stacey King practices at 3900 W Brown Deer Rd Ste 200, Brown Deer, WI 53209. The listed phone number is (414) 540-2170.
What is Stacey King's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Stacey King enrolled in Medicare?
Yes. Stacey King is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Stacey King's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stacey King reassigns Medicare benefits to Sondermind Provider Network LLC (Denver, CO). 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 King's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Stacey King accept?
Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list Stacey King 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 Stacey King was last updated on October 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days 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.
# Stacey King, LPC IT · NPI 1649733189
Professional provider in Brown Deer, Wisconsin. Individual provider, active in the CMS NPPES registry since April 11, 2019.
## Identity
- **NPI:** 1649733189 (Entity type: Individual)
- **Enumerated:** April 11, 2019
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 11960-125 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 3900 W BROWN DEER RD STE 200, Brown Deer, WI 53209-1220
- **Phone:** (414) 540-2170
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Sondermind Provider Network LLC (NPI 1760854442, Denver, CO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** October 12, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1649733189) · Data from the CMS NPPES public registry.