MR. CHARLES BENSON STACEY LMFT
NPI 1699985259
Marriage & Family Therapist in Farmington, NM

Q: What is Charles Stacey's NPI number?

The NPI number for Charles Stacey is 1699985259. It was assigned to this individual provider in the NPPES registry on May 23, 2007.

Q: What is Charles Stacey's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: Is Charles Stacey enrolled in Medicare?

No. Charles Stacey has opted out of Medicare through September 23, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Charles Stacey was last updated on February 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since May 23, 2007Opted out of Medicare · through Sep 23, 2026

3510 MESSINA DR, FARMINGTON, NM 87402(832) 630-3022 Get Directions Write a Review

NPPES record last updated: February 29, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mr. Charles Benson Stacey Lmft NPPES

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

MR. CHARLES BENSON STACEY LMFT (NPI 1699985259) is an individual marriage & family therapist in Farmington, New Mexico, licensed in New Mexico (CMF0068702) and active in the NPI registry since May 2007. He has opted out of Medicare through September 23, 2026.

NPPES Registry Identity

NPI1699985259

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameMR. CHARLES BENSON STACEYCredential: LMFT

Location Address3510 MESSINA DRFarmington, NM 87402-4782

Mailing Address3510 Messina DrFarmington, NM 87402-4782 · (832) 630-3022

Phone(832) 630-3022

Sole ProprietorNo

Enumeration DateMay 23, 2007

Last NPPES UpdateFebruary 29, 2020

✔ NPI 1699985259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

Licenses✔ Licensed in NM · CMF0068702✔ Licensed in TX · 4426

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

3510 MESSINA DR, Farmington, NM 87402

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Other Identifiers 1

Medicaid84254289NM

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mr. Charles Benson Stacey Lmft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 23, 2024 through September 23, 2026.

Opt-Out Effective DateSeptember 23, 2024

Opt-Out In Effect ThroughSeptember 23, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 6

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

JEAN MANZ COACHING, LLC

Clinic/Center (Mental Health (Including Community Mental Health Center))