Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1063505014 Individual Practitioner Female Practitioner

Stacy L Paul , MA, LPC, LICAC

Counselor - Professional • Phoenix, AZ

Professional Overview & Biography Verified Profile Summary

Stacy Paul, MA, LPC, LICAC is a certified Counselor - Professional practicing in Phoenix, AZ. With approximately 29 years of clinical experience since completing medical education in 1997, Stacy Paul delivers high-quality medical care to the local community at 4451 E OAK ST.

Stacy Paul does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

4451 E Oak St

Phoenix, AZ 850082410

Telephone 6026856000
Fax 6025084492
Associated Practice Facility / Clinic
🏢 Lifewell Behavioral Wellness Facility NPI 1790160141

Medicare Profile & Education

Medical School

Other

Graduation Year

1997

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Phoenix, AZ

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
29 Yrs +16.2 yrs vs City Avg
City Avg: 12.8 Yrs
State Avg: 15.4 Yrs
Regional Practice Density
763 Specialists

Practicing in Phoenix, AZ (3051 Statewide)

Telehealth Adoption Rate
4.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Paul (29 Years) 29 Yrs
Phoenix Specialty Average (12.8 Years) 12.8 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-02-02
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License AZ LPC2397

Definition to come...

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License AZ LISAC1626

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Ahcccs
644999 (AZ)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Kalina Christle , LIAC

Counselor - Addiction (Substance Use Disorder)

NPI 1003513193
Rachelly De La Cruz , RN

Nurse Practitioner - Family

NPI 1003524679

Registered Nurse

Douglas Huezo , LAC

Counselor - Mental Health

NPI 1013174093

Licensed Acupuncturist

Chad Close , LISAC

Counselor - Addiction (Substance Use Disorder)

NPI 1013311356
Karyn Borrego , LPC

Counselor - Professional

NPI 1013654011

Licensed Professional Counselor

Elizabeth Ruiz , LCSW

Social Worker - Clinical

NPI 1013876689

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location February 02, 2026

Registered at 4451 E OAK ST, PHOENIX, AZ 850082410 (Tel: 6026856000)

📍
Updated Business Mailing Address February 02, 2026

Registered at 3003 N CENTRAL AVE STE 400, PHOENIX, AZ 850122929 (Tel: 6026856000)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 590 S OCOTILLO AVE, BENSON, AZ 856026405 (Tel: 5205867080)

📍
Updated Business Mailing Address July 08, 2007

Registered at 489 N ARROYO BLVD, NOGALES, AZ 856212644 (Tel: 5202874713)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as STACY PAUL, MA, LPC, LICAC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Counselor (License #LISAC1626 in AZ)

🟢
Initial NPI Registration & Enumeration October 02, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063505014
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 02, 2006
Last Update: February 02, 2026
Sole Proprietor: No

Mailing Address

3003 N Central Ave Ste 400

Phoenix, AZ 850122929

Phone: 6026856000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.