STACIE PETERSON, LCMHC, LPC, LLC
NPI 1891402384
Community/Behavioral Health in Spring Lake, NC

Active since November 03, 2022
242 S BRAGG BLVD, SPRING LAKE, NC 28390(919) 346-3733 Get Directions Write a Review

NPPES record last updated: November 3, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Stacie Peterson, Lcmhc, Lpc, Llc NPPES

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

STACIE PETERSON, LCMHC, LPC, LLC (NPI 1891402384) is a healthcare organization registered as a community/behavioral health in Spring Lake, North Carolina and active in the NPI registry since November 2022. The organization lists Stacie Peterson, Counselor, as its authorized official.

NPPES Registry Identity

NPI1891402384
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameSTACIE PETERSON, LCMHC, LPC, LLC
Location Address242 S BRAGG BLVDSpring Lake, NC 28390-3929
Mailing Address614 Elwood DrDuncan, SC 29334-8995
Organization SubpartNo
Authorized OfficialStacie PetersonCounselor · (919) 346-3733
Enumeration DateNovember 3, 2022
NPPES CertifiedNovember 3, 2022
NPI 1891402384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
242 S BRAGG BLVD, Spring Lake, NC 28390

Other Identifiers 1

Other11188NC · Lcmhc License Number

Other Providers at the Same Location NPPES 3

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

Clinic/Center (Mental Health (Including Community Mental Health Center))
242 S BRAGG BLVD
SPRING LAKE, NC 28390
Social Worker (Clinical)
242 S BRAGG BLVD
SPRING LAKE, NC 28390
Marriage & Family Therapist
242 S BRAGG BLVD
SPRING LAKE, NC 28390

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 Peterson, Lcmhc, Lpc, LLC's NPI number?

The NPI number for Stacie Peterson, Lcmhc, Lpc, LLC is 1891402384. It was assigned to this organization in the NPPES registry on November 3, 2022.

Where is Stacie Peterson, Lcmhc, Lpc, LLC located?

Stacie Peterson, Lcmhc, Lpc, LLC is located at 242 S Bragg Blvd, Spring Lake, NC 28390. The listed phone number is (919) 346-3733.

What is Stacie Peterson, Lcmhc, Lpc, LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Stacie Peterson, Lcmhc, Lpc, LLC was last updated on November 3, 2022. 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.