Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1295563658 Individual Practitioner Female Practitioner

Stacy E Bettelon , LAC

Counselor • Phoenix, AZ

Professional Overview & Biography Verified Profile Summary

Stacy Bettelon, LAC is a registered healthcare professional specializing in Counselor in Phoenix, AZ. Practice services are available at 734 W POLK ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

734 W Polk St

Phoenix, AZ 850072539

Telephone 6028483323

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Phoenix, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.7 Yrs
State Avg: 13.2 Yrs
Regional Practice Density
271 Specialists

Practicing in Phoenix, AZ (1205 Statewide)

Telehealth Adoption Rate
2.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-07-25
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License AZ LAC-19691

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Practice Associates & Co-Workers

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

3 Associated Practitioners
NPI 1164251351

Licensed Acupuncturist

Carlin Rouse , LPC

Counselor - Mental Health

NPI 1275173411

Licensed Professional Counselor

Leah Brignall , LAC

Counselor - Mental Health

NPI 1598552481

Licensed Acupuncturist

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 25, 2024

NPI status registered as active in NPPES database

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Updated Practice Location July 25, 2024

Registered at 734 W POLK ST, PHOENIX, AZ 850072539 (Tel: 6028483323)

📍
Updated Business Mailing Address July 25, 2024

Registered at PO BOX 401, GILSUM, NH 034480401 (Tel: 6233320066)

👤
Provider Name / Credentials Updated July 25, 2024

Recorded as STACY BETTELON, LAC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 25, 2024

Counselor (License #LAC-19691 in AZ)

🟢
Initial NPI Registration & Enumeration July 25, 2024

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: 1295563658
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 25, 2024
Last Update: July 25, 2024
Sole Proprietor: Yes

Mailing Address

Po Box 401

Gilsum, NH 034480401

Phone: 6233320066

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.