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Active NPI 1558020354 Individual Practitioner Female Practitioner

Stacy Grant , LPC

Counselor - Professional • Cedar Park, TX

Professional Overview & Biography Verified Profile Summary

Stacy Grant, LPC is a registered healthcare professional specializing in Counselor - Professional in Cedar Park, TX. Practice services are available at 201 S LAKELINE BLVD STE 103 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

201 S Lakeline Blvd Ste 103

Cedar Park, TX 786132719

Telephone 5128433852
Associated Practice Facility / Clinic
🏢 Engedi Life Care, Pllc Facility NPI 1508140971

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Cedar Park, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.1 Yrs
State Avg: 14.1 Yrs
Regional Practice Density
89 Specialists

Practicing in Cedar Park, TX (21203 Statewide)

Telehealth Adoption Rate
6.7% 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: 2021-12-09
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License TX 60926

Definition to come...

Practice Associates & Co-Workers

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

2 Associated Practitioners
Pamela Bermender , LMFT

Marriage & Family Therapist

NPI 1104179233

Licensed Marriage and Family Therapist

Sarah Moran , LCSW

Social Worker - Clinical

NPI 1336080431

Licensed Clinical Social Worker

Career & Practice History Timeline

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

6 Historical Events
✅
NPI Profile Active December 09, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location December 09, 2021

Registered at 201 S LAKELINE BLVD STE 103, CEDAR PARK, TX 786132719 (Tel: 5128433852)

📍
Updated Business Mailing Address December 09, 2021

Registered at 201 S LAKELINE BLVD STE 103, CEDAR PARK, TX 786132719 (Tel: 5128433852)

👤
Provider Name / Credentials Updated December 09, 2021

Recorded as STACY GRANT, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 09, 2021

Counselor (License #60926 in TX)

🟢
Initial NPI Registration & Enumeration December 09, 2021

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: 1558020354
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 09, 2021
Last Update: December 09, 2021
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

201 S Lakeline Blvd Ste 103

Cedar Park, TX 786132719

Phone: 5128433852

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.