STACEY PERKO MSW, LCSW, SUDC - NPI 1679034516

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

On this page

About Stacey Perko Msw, Lcsw, Sudc NPPES

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

STACEY PERKO MSW, LCSW, SUDC (NPI 1679034516) is an individual mental health provider in Provo, Utah, licensed in Utah (6086382-3501) and active in the NPI registry since March 2019.

NPPES Registry Identity

NPI1679034516

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameSTACEY PERKOCredential: MSW, LCSW, SUDC

Location Address3507 N UNIVERSITY AVE STE 350Provo, UT 84604-6602

Mailing Address5108 W Eagle Hill CirWest Jordan, UT 84081-3989 · (801) 842-8062

Phone(801) 842-8062

Sole ProprietorYes

Enumeration DateMarch 25, 2019

Last NPPES UpdateMay 1, 2020

NPPES CertifiedMay 1, 2020

✔ NPI 1679034516 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 UT · 6086382-3501

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 6086382-6005 (UT)

3507 N UNIVERSITY AVE STE 350, Provo, UT 84604

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include University of Utah Health Plans.Insurance ›

Other Providers at the Same Location NPPES 5

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

ERIN RACKHAM M.S.

Marriage & Family Therapist