Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1073265989 Individual Practitioner Female Practitioner

Nicole Victoria Asha Stack

Counselor • Puyallup, WA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Nicole Stack is a certified Counselor practicing in Puyallup, WA. With approximately 4 years of clinical experience since completing medical education in 2022, Nicole Stack delivers high-quality medical care to the local community at 325 E PIONEER.

Nicole Stack is affiliated with Multicare Health System and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Practice Location & Contact Primary Location

Practice Address

325 E Pioneer

Puyallup, WA 983723265

Telephone 2536978400
Associated Practice Facility / Clinic
🏢 Multicare Health Systems Facility NPI 1548565393

Medicare Profile & Education

Medical School

Other

Graduation Year

2022

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Puyallup, WA

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
4 Yrs +0.3 yrs vs City Avg
City Avg: 3.7 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
198 Specialists

Practicing in Puyallup, WA (11556 Statewide)

Telehealth Adoption Rate
0.5% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Stack (4 Years) 4 Yrs
Puyallup Specialty Average (3.7 Years) 3.7 Yrs

Medical Specialties & State Licenses

CMS Verified: 2022-01-21
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License WA CG61247305

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.

Hospital & Practice Group Affiliations

Multicare Health System

317 Martin Luther King Jr Way, Tacoma, WA 984054234

Multicare Health System

4545 Point Fosdick Dr, Gig Harbor, WA 983351700

Phone: 2535308011

Multicare Health System

315 Martin Luther King Jr Way, Tacoma, WA 984054234

Phone: 2534032130

Multicare Health System

4700 Point Fosdick Dr, Gig Harbor, WA 983351706

Multicare Health System

317 Mlk Jr Way, Tacoma, WA 984054234

Phone: 2534031126

Practice Associates & Co-Workers

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

40 Associated Practitioners
Rashaun Renggli

Counselor - Mental Health

NPI 1003048984
Laurel Holden

Counselor - Mental Health

NPI 1003132770
Michael Pinatiello

Counselor - Mental Health

NPI 1003141060
Melissa Romans

Counselor - Mental Health

NPI 1003142191
Rebecca Stoker

Counselor - Mental Health

NPI 1003217589
Jordan Mccann , MA

Counselor - Mental Health

NPI 1003363706

Master of Arts

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 21, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location January 21, 2022

Registered at 325 E PIONEER, PUYALLUP, WA 983723265 (Tel: 2536978400)

📍
Updated Business Mailing Address January 21, 2022

Registered at 325 E PIONEER, PUYALLUP, WA 983723265 (Tel: 2536978400)

👤
Provider Name / Credentials Updated January 21, 2022

Recorded as NICOLE STACK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 21, 2022

Counselor (License #CG61247305 in WA)

🟢
Initial NPI Registration & Enumeration January 21, 2022

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: 1073265989
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 21, 2022
Last Update: January 21, 2022
Sole Proprietor: No

Mailing Address

325 E Pioneer

Puyallup, WA 983723265

Phone: 2536978400

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.