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Active NPI 1689725913 Individual Practitioner Female Practitioner

Brenda Lee Stack , LMHC, CAP, NCC

Counselor - Mental Health • Mims, FL

Professional Overview & Biography Verified Profile Summary

Brenda Stack, LMHC, CAP, NCC is a registered healthcare professional specializing in Counselor - Mental Health in Mims, FL. Practice services are available at 3302 GREEN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3302 Green St

Mims, FL 327543813

Telephone 3212688828
Fax 3215670888

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Mental Health in Mims, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.5 Yrs
Regional Practice Density
1 Specialists

Practicing in Mims, FL (23930 Statewide)

Telehealth Adoption Rate
0.0% 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

Counselor - Mental Health Primary Specialty

NUCC Taxonomy Code: 101YM0800X

State License FL MH5982

Definition to come...

Career & Practice History Timeline

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

6 Historical Events
✅
NPI Profile Active July 12, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location July 12, 2008

Registered at 3302 GREEN ST, MIMS, FL 327543813 (Tel: 3212688828)

📍
Updated Business Mailing Address July 12, 2008

Registered at PO BOX 321, MIMS, FL 327540321 (Tel: 3212688828)

👤
Provider Name / Credentials Updated July 12, 2008

Recorded as BRENDA STACK, LMHC, CAP, NCC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 12, 2008

Counselor (License #MH5982 in FL)

🟢
Initial NPI Registration & Enumeration January 15, 2007

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: 1689725913
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 15, 2007
Last Update: July 12, 2008
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

Po Box 321

Mims, FL 327540321

Phone: 3212688828

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.