STACY NATASHA WILSON PSY.D., LCAS, MAC
NPI 1992261085
Counselor - Addiction (Substance Use Disorder) in Winton, NC

Q: What is Stacy Wilson's NPI number?

The NPI number for Stacy Wilson is 1992261085. It was assigned to this individual provider in the NPPES registry on February 14, 2019.

Q: What is Stacy Wilson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Stacy Wilson was last updated on February 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 February 14, 2019

145 PARKER FISHERY RD, WINTON, NC 27986(252) 358-5200 Get Directions Write a Review

NPPES record last updated: February 14, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Stacy Natasha Wilson Psy.d., Lcas, Mac NPPES

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

STACY NATASHA WILSON PSY.D., LCAS, MAC (NPI 1992261085) is an individual addiction (substance use disorder) provider in Winton, North Carolina, licensed in North Carolina (LCAS-3290) and active in the NPI registry since February 2019. She maintains a secondary practice location in Suffolk.

NPPES Registry Identity

NPI1992261085

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameSTACY NATASHA WILSONCredential: PSY.D., LCAS, MAC

Location Address145 PARKER FISHERY RDWinton, NC 27986-9763

Mailing Address1014 Island Park CirSuffolk, VA 23435-3275

Phone(252) 358-5200

Sole ProprietorYes

Enumeration DateFebruary 14, 2019

✔ NPI 1992261085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in NC · LCAS-3290

Also ListedPsychologistTaxonomy 103T00000X · License 4371 (NC)

145 PARKER FISHERY RD, Winton, NC 27986

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Secondary Practice Location 1

Location 11014 Island Park CirSuffolk, VA 23435-3275 · Phone (646) 244-9493

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 Wilson's NPI number?

The NPI number for Stacy Wilson is 1992261085. It was assigned to this individual provider in the NPPES registry on February 14, 2019.

Where is Stacy Wilson located?

Stacy Wilson practices at 145 Parker Fishery Rd, Winton, NC 27986. The listed phone number is (252) 358-5200.

What is Stacy Wilson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Stacy Wilson was last updated on February 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.