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STACEY DYJEWSKI LCMHCS
NPI 1912322561
Counselor - Professional in Wake Forest, NC

Active since February 19, 2014PECOS Enrolled
10580 LIGON MILL RD # 210, WAKE FOREST, NC 27587(919) 263-9592 Get Directions Write a Review

NPPES record last updated: March 22, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Stacey Dyjewski Lcmhcs NPPES

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

STACEY DYJEWSKI LCMHCS (NPI 1912322561) is an individual professional provider in Wake Forest, North Carolina, licensed in North Carolina (S14065) and active in the NPI registry since February 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912322561
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSTACEY DYJEWSKICredential: LCMHCS
Location Address10580 LIGON MILL RD # 210Wake Forest, NC 27587-6090
Mailing Address10580 Ligon Mill Rd # 210Wake Forest, NC 27587-6090 · (586) 804-7651
Phone(919) 263-9592
Sole ProprietorNo
Enumeration DateFebruary 19, 2014
Last NPPES UpdateMarch 22, 2024
NPPES CertifiedMarch 22, 2024
✔ NPI 1912322561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in NC · S14065✔ Licensed in MI · 6401014097
10580 LIGON MILL RD # 210, Wake Forest, NC 27587
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Cigna Healthcare, Oscar Health Plan of North Carolina, Inc 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)

Stacey Dyjewski Lcmhcs 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 Reassignment

Medicare enrollment records show Stacey Dyjewski reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Perkins Counseling And Psychological Services, PLLC
Same address
Mental Health
10580 LIGON MILL ROAD, SUITE 210
Wake Forest, NC 27587
  • Reassigned Medicare billing, North Carolina enrollment
  • 20 clinicians in this Medicare group
NPI 1750641213 (919) 263-9592

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 11

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

PAIGE KIDD-GILLIS LCSW-A
Social Worker (Clinical)
10580 LIGON MILL RD # 210
WAKE FOREST, NC 27587
Wake County (919) 949-9552
MR. GARY S SKINNER LCSW
Social Worker (Clinical)
10580 LIGON MILL RD # 210
WAKE FOREST, NC 27587
Wake County (919) 263-9592
ADRIAN MILLER
Psychologist (Clinical)
10580 LIGON MILL RD # 210
WAKE FOREST, NC 27587
Wake County (919) 263-9592
ABIGAIL ROSE KILLINGER
Counselor (Mental Health)
10580 LIGON MILL RD # 210
WAKE FOREST, NC 27587
Wake County (919) 263-9592
MYKALUH CATHERINE MCLAMB LCMHC-A
Counselor (Mental Health)
10580 LIGON MILL RD # 210
WAKE FOREST, NC 27587
Wake County (919) 263-9592
CARMELA MANGINI
Counselor (Mental Health)
10580 LIGON MILL RD # 210
WAKE FOREST, NC 27587
Wake County (919) 263-9592
ELIZABETH VAUGHAN MSN, APRN, CPNP-PC
Nurse Practitioner (Pediatrics)
10580 LIGON MILL RD # 210
WAKE FOREST, NC 27587
Wake County (919) 263-9592
STEPHANIE CARR LCMHCA
Counselor (Mental Health)
10580 LIGON MILL RD # 210
WAKE FOREST, NC 27587
Wake County (919) 263-9592

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 Dyjewski's NPI number?

The NPI number for Stacey Dyjewski is 1912322561. It was assigned to this individual provider in the NPPES registry on February 19, 2014.

Where is Stacey Dyjewski located?

Stacey Dyjewski practices at 10580 Ligon Mill Rd # 210, Wake Forest, NC 27587. The listed phone number is (919) 263-9592.

What is Stacey Dyjewski's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Stacey Dyjewski enrolled in Medicare?

Yes. Stacey Dyjewski is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Stacey Dyjewski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacey Dyjewski reassigns Medicare benefits to Perkins Counseling And Psychological Services, PLLC (Wake Forest, NC). The 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 Stacey Dyjewski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stacey Dyjewski accept?

Health plans from Blue Cross and Blue Shield of NC, Cigna Healthcare, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Stacey Dyjewski 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 Dyjewski was last updated on March 22, 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.