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STACIE MAZE LPC
NPI 1679715494
Counselor - Mental Health in Oklahoma City, OK

Active since March 25, 2009PECOS Enrolled
5708 NW 132ND ST STE C, OKLAHOMA CITY, OK 73142(405) 400-1169(580) 237-7711 Get Directions Write a Review

NPPES record last updated: February 15, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Stacie Maze Lpc NPPES

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

STACIE MAZE LPC (NPI 1679715494) is an individual mental health provider in Oklahoma City, Oklahoma, licensed in Oklahoma (LPC 3777) and active in the NPI registry since March 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679715494
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSTACIE MAZECredential: LPC
Location Address5708 NW 132ND ST STE COklahoma City, OK 73142-4430
Mailing AddressPo Box 720935Oklahoma City, OK 73172-0935 · (580) 478-7777
Phone(405) 400-1169
Fax(580) 237-7711
Sole ProprietorYes
Enumeration DateMarch 25, 2009
Last NPPES UpdateFebruary 15, 2024
NPPES CertifiedFebruary 15, 2024
✔ NPI 1679715494 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
Licenses✔ Licensed in OK · LPC 3777✔ Licensed in WA · LH61497058
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 63411 (TX)
5708 NW 132ND ST STE C, Oklahoma City, OK 73142
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Cigna Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacie Maze Lpc 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Stacie Maze reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Brightside Medical, P.C.
1,383 mi
Psychiatry
5214F DIAMOND HEIGHTS BLVD # 345
San Francisco, CA 94131
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Brightside Medical PC
  • 231 clinicians in this Medicare group
NPI 1801355482 (415) 360-3348
Brightside Medical Of Michigan PC
1,383 mi
Psychiatry
5214F DIAMOND HEIGHTS BLVD # 3422
San Francisco, CA 94131
  • Reassigned Medicare billing, Oklahoma enrollment
  • 7 clinicians in this Medicare group
NPI 1144800350 (415) 360-3348

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

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

AMAZE COUNSELING AND WELLNESS, LLC
Counselor (Professional)
5708 NW 132ND ST STE C
OKLAHOMA CITY, OK 73142
Oklahoma County (405) 400-1169

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 Stacie Maze's NPI number?

The NPI number for Stacie Maze is 1679715494. It was assigned to this individual provider in the NPPES registry on March 25, 2009.

Where is Stacie Maze located?

Stacie Maze practices at 5708 NW 132nd St Ste C, Oklahoma City, OK 73142. The listed phone number is (405) 400-1169.

What is Stacie Maze's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Stacie Maze enrolled in Medicare?

Yes. Stacie Maze is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Stacie Maze's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacie Maze reassigns Medicare benefits to 2 organizations: Brightside Medical, P.C. (San Francisco, CA) and Brightside Medical Of Michigan PC (San Francisco, CA). Each 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 Stacie Maze's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stacie Maze accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Cigna Healthcare, Oscar Health and UnitedHealthcare list Stacie Maze 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 Stacie Maze was last updated on February 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.