Stacie Thaxton, LPCC, NCC in Granville, OH - Medicare Counselor Provider

Stacie Thaxton, LPCC, NCC is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in Granville, Ohio. Her current practice location is 945 River Rd, Granville, Ohio. You can reach out to her office (for appointments etc.) via phone at (740) 587-5252.

Stacie Thaxton is licensed to practice in Ohio (license number E.1400025) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1245693357.

Contact Information

	Stacie Thaxton, LPCC, NCC
	945 River Rd, Granville, OH 43023-9534
	(740) 587-5252
	(740) 587-2571

Map and Direction

Healthcare Provider's Profile

Full Name	Stacie Thaxton
Gender	Female
Speciality	Counselor - Addiction (substance Use Disorder)
Location	945 River Rd, Granville, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245693357
Provider Enumeration Date: 04/05/2016
Last Update Date: 02/05/2024

Medicare PECOS Information:

PECOS PAC ID: 6507201001
Enrollment ID: I20240223002228

Medical Identifiers

Medical identifiers for Stacie Thaxton such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245693357	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	E.1400025 (Ohio)	Primary
101YM0800X	Counselor - Mental Health	E.1400025 (Ohio)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Stacie Thaxton allows following entities to bill medicare on her behalf.

Entity Name	Newark-granville Psychological & Counseling Services Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891808648 PECOS PAC ID: 6800879107 Enrollment ID: O20040609000081

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stacie Thaxton is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Stacie Thaxton, LPCC, NCC Po Box 481, Granville, OH 43023-0481 Ph: (740) 587-5252	Stacie Thaxton, LPCC, NCC 945 River Rd, Granville, OH 43023-9534 Ph: (740) 587-5252

Reviews and Comments

Counselor in Granville, OH

Sherry E Cotterman-fischer, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 935 River Rd, Suite I, Granville, OH 43023 Phone: 740-755-8051 Fax: 740-366-8940
Laura Kay Freidner, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1965 Newark Granville Rd, Granville, OH 43023 Phone: 740-334-1373
Jeannette B. Clark, MSED., LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 941 River Rd, Granville, OH 43023 Phone: 740-587-1543 Fax: 740-587-1573
Stephen Walters, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 130 N Prospect St, Granville, OH 43023 Phone: 740-277-8050
Arline Iannicello, MA, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1943 Newark Granville Rd, Granville, OH 43023 Phone: 740-587-5252 Fax: 740-587-2571
Maria Dyan Johnson, MSW, LISW-S,ACHP-SW Counselor Medicare: Not Enrolled in Medicare Practice Location: 941 River Rd Ste B, Granville, OH 43023 Phone: 740-587-1543

Stacie Thaxton, LPCC, NCC - Medicare Counselor in Granville, OH