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STACEY KING LPC IT
NPI 1649733189
Counselor - Professional in Brown Deer, WI

Active since April 11, 2019PECOS Enrolled
3900 W BROWN DEER RD STE 200, BROWN DEER, WI 53209(414) 540-2170 Get Directions Write a Review

NPPES record last updated: September 13, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 13, 2022, Apr 11, 2019 (2 updates tracked since 2019).

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 (7088-226) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649733189
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSTACEY KINGCredential: LPC IT
Location Address3900 W BROWN DEER RD STE 200Brown Deer, WI 53209-1220
Mailing Address611a N 62nd StWauwatosa, WI 53213-4171 · (414) 346-6423
Phone(414) 540-2170
Sole ProprietorNo
Enumeration DateApril 11, 2019
Last NPPES UpdateSeptember 13, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 13, 2022
✔ NPI 1649733189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in WI · 7088-226
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 18842-130 (WI)
3900 W BROWN DEER RD STE 200, Brown Deer, WI 53209
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Other Names 1

Professional Name (2)Stacey King Substance Abuse

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacey King Lpc It is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

MELISSA KOFF
Social Worker (Clinical)
3900 W BROWN DEER RD STE 200
BROWN DEER, WI 53209
Milwaukee County (414) 540-2170
JENNA MOHELNITZKY LCSW
Social Worker (Clinical)
3900 W BROWN DEER RD STE 200
BROWN DEER, WI 53209
Milwaukee County (414) 540-2170
ANASTACIA CLUCAS
Counselor (Professional)
3900 W BROWN DEER RD STE 200
BROWN DEER, WI 53209
Milwaukee County (414) 540-2170
JENNIFER JEAN HANSEN
Counselor (Professional)
3900 W BROWN DEER RD STE 200
BROWN DEER, WI 53209
Milwaukee County (414) 540-2170
HARRISON BJORBACK
Counselor (Professional)
3900 W BROWN DEER RD STE 200
BROWN DEER, WI 53209
Milwaukee County (414) 540-2170
SUSELL ZARZA-O'NEILL
Social Worker (Clinical)
3900 W BROWN DEER RD STE 200
BROWN DEER, WI 53209
Milwaukee County (414) 540-2170
GERRI WILSON-CLAYTON
Counselor (Professional)
3900 W BROWN DEER RD STE 200
BROWN DEER, WI 53209
Milwaukee County (414) 540-2170
RUBIN MARSHAK
Counselor (Professional)
3900 W BROWN DEER RD STE 200
BROWN DEER, WI 53209
Milwaukee County (414) 540-2170

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.

When was this NPI record last updated?

The NPPES record for Stacey King was last updated on September 13, 2022. 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.