| Stacy Smith, LPC | |
|
100 South Ridge Road, Suite 201 C, Breckenridge, CO 80424 | |
| (970) 389-6172 | |
| Not Available |
| Full Name | Stacy Smith |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 24 Years |
| Location | 100 South Ridge Road, Breckenridge, Colorado |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871898858 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 4227 (Colorado) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Eagle Valley Mental Health | 6204297450 | 27 |
| Entity Name | Eagle Valley Mental Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972267292 PECOS PAC ID: 6204297450 Enrollment ID: O20230803002737 |
| Mailing Address | Practice Location Address |
|---|---|
| Stacy Smith, LPC Po Box 6423, Breckenridge, CO 80424-6423 Ph: (970) 389-6172 | Stacy Smith, LPC 100 South Ridge Road, Suite 201 C, Breckenridge, CO 80424 Ph: (970) 389-6172 |
Andrew William Mikita, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 374 Locals Lane, Breckenridge, CO 80424 Phone: 970-333-9622 | |
Melissa Gledhill, Counselor Medicare: Not Enrolled in Medicare Practice Location: 103 Sawmill Rd, Breckenridge, CO 80424 Phone: 970-368-0778 | |
Abigail Blacklock, M.A., L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 103 Sawmill Rd., Breckenridge, CO 80424 Phone: 970-368-2825 | |
Jacqueline Black, Counselor Medicare: Not Enrolled in Medicare Practice Location: Po Box 6463, Breckenridge, CO 80424 Phone: 207-807-9145 | |
Sierra Andrews, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1200 Airport Rd, Breckenridge, CO 80424 Phone: 970-528-6670 | |
Serenity J Bell, Counselor Medicare: Not Enrolled in Medicare Practice Location: Po Box 4087, Breckenridge, CO 80424 Phone: 720-320-8815 | |
Kellyn Glynn, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 106 N French St, Suite 201-1, Breckenridge, CO 80424 Phone: 720-722-1242 |