STACY R GERSON LPC
NPI 1831960764
Counselor - Professional in Tempe, AZ
About Stacy R Gerson Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STACY R GERSON LPC (NPI 1831960764) is an individual professional provider in Tempe, Arizona, licensed in Arizona (LPC22304) and active in the NPI registry since January 2024. She has opted out of Medicare through September 3, 2026.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Stacy R Gerson Lpc 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 3, 2024 through September 3, 2026.
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 Stacy Gerson's NPI number?
The NPI number for Stacy Gerson is 1831960764. It was assigned to this individual provider in the NPPES registry on January 10, 2024.
Where is Stacy Gerson located?
Stacy Gerson practices at 1631 E Guadalupe Rd Ste 102, Tempe, AZ 85283. The listed phone number is (480) 409-5641.
What is Stacy Gerson's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Stacy Gerson enrolled in Medicare?
No. Stacy Gerson has opted out of Medicare through September 3, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Stacy Gerson was last updated on January 10, 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.
# Stacy R Gerson, LPC · NPI 1831960764
Professional provider in Tempe, Arizona. Individual provider, active in the CMS NPPES registry since January 10, 2024.
## Identity
- **NPI:** 1831960764 (Entity type: Individual)
- **Enumerated:** January 10, 2024
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** LPC22304 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 1631 E GUADALUPE RD STE 102, Tempe, AZ 85283-3935
- **Phone:** (480) 409-5641
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through September 3, 2026); services are provided under private contract
## Record status
- **NPPES last updated:** January 10, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1831960764) · Data from the CMS NPPES public registry.