STACEY WALSTON
NPI 1780369439
Counselor - Mental Health in Jacksonville, FL
About Stacey Walston NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STACEY WALSTON (NPI 1780369439) is an individual mental health provider in Jacksonville, Florida, licensed in Florida (IMH12155) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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 Walston is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
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 Walston's NPI number?
The NPI number for Stacey Walston is 1780369439. It was assigned to this individual provider in the NPPES registry on June 20, 2023.
Where is Stacey Walston located?
Stacey Walston practices at 555 Stockton St, Jacksonville, FL 32204. The listed phone number is (904) 574-2061.
What is Stacey Walston's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Stacey Walston enrolled in Medicare?
Yes. Stacey Walston is registered in the Medicare PECOS enrollment system.
What insurance does Stacey Walston accept?
Health plans from Molina Healthcare and Oscar Health Maintenance Organization of Florida list Stacey Walston 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 Walston was last updated on June 20, 2023. 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.
# Stacey Walston · NPI 1780369439
Mental Health provider in Jacksonville, Florida. Individual provider, active in the CMS NPPES registry since June 20, 2023.
## Identity
- **NPI:** 1780369439 (Entity type: Individual)
- **Enumerated:** June 20, 2023
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** IMH12155 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 555 STOCKTON ST, Jacksonville, FL 32204-2534
- **Phone:** (904) 574-2061
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment
## Record status
- **NPPES last updated:** June 20, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1780369439) · Data from the CMS NPPES public registry.