Look up the most recent NPI and PECOS records

Stacey Thompson

Counselor

Behavioral Health & Social Service Providers

3300 Rivermont Ave, Pathways Addiction Recovery Center, Lynchburg, VA 24503-2030

PECOS Enrollment

Based on the most recent information from CMS, provider Stacey Thompson is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 34 days ago.

Profile Details

Provider ID
1861854663
Provider Type
Individual
Full Name
Thompson, Stacey
Title
Miss
Credential
LPC-S

Gender
Female
Sole Proprietor
Yes
Enumeration Date
3/22/2016
Last Updated
3/22/2016

Contact Information

Practice Location

3300 Rivermont Ave, Pathways Addiction Recovery Center, Lynchburg, VA 24503-2030

(434) 200-4455

Unlisted Fax

Mailing Location

3300 Rivermont Ave, Pathways Addiction Recovery Center, Lynchburg, VA 24503-2030

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YP2500X Primary	Description Counselor Behavioral Health & Social Service Providers	License 0701006139 Virginia

Stacey Thompson

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Blevins, Elizabeth S

Davis, Bryn

Neff, Anne R.

Smith, Robert

Blackwell, Mary Clayton

Maloy, Joy Bernhart

Keating, Teresa Lynn

Stone, Melisa M.

Sutton, Fern

Harrison, Gina