MS. STACEY NICOLE PAXTON


Address: 853 Battlecreek Rd, Jonesboro, GA 30236-1919
Phone: 7704732667

MS. STACEY NICOLE PAXTON (NPI# 1194276071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194276071
Entity Type Individual
Full Name MS. STACEY NICOLE PAXTON
Credential LAPC
Practice Address 853 Battlecreek Rd
Jonesboro
GA 30236-1919
Mailing Address 7355 Royale Ln
Riverdale
GA 30296-7206
Practice Telephone 7704732667
Mailing Telephone 4703993593
Enumeration Date 2016-10-17
Last Update Date 2016-10-17
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor APC00531 GA Behavioral Health & Social Service Providers

Office Location

Street Address 853 BATTLECREEK RD
City JONESBORO
State GA
Zip Code 30236-1919

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649257791 Clayton Community Mental Health Substance Ab Clinic/Center 853 Battlecreek Rd, Jonesboro, GA 30236-1919 2005-12-29
1396303731 Raphel Rice Clinic/Center 853 Battlecreek Rd, Jonesboro, GA 30236-1919 2019-05-31
1518428747 Terri Anderson Williams Registered Nurse 853 Battlecreek Rd, Jonesboro, GA 30236-1919 2019-03-29
1457810095 Shawn Maria Coleman Counselor 853 Battlecreek Rd, Jonesboro, GA 30236-1919 2019-03-13
1851880926 Jenise Trannell Clark Counselor 853 Battlecreek Rd, Jonesboro, GA 30236-1919 2018-05-04
1255873709 Dorothy A. Fondi Counselor 853 Battlecreek Rd, Jonesboro, GA 30236-1919 2016-11-15
1801348131 Nicole Heather Dawn Holmes Counselor 853 Battlecreek Rd, Jonesboro, GA 30236-1919 2016-11-03
1871045187 Caryn Haire Counselor 853 Battlecreek Rd, Jonesboro, GA 30236-1919 2016-11-03
1700338472 Joy Boyce Counselor 853 Battlecreek Rd, Jonesboro, GA 30236-1919 2016-10-28
1922464635 Angela Robinson Counselor 853 Battlecreek Rd, Jonesboro, GA 30236-1919 2016-01-11
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972123362 Life Source Counseling & Consulting, LLC Clinic/Center 118 North Avenue, Suite A, Jonesboro, GA 30236 2020-04-25
1639609555 New Beginnings Behavioral Counseling,llc Social Worker 9456 S Main St Ste E2, Jonesboro, GA 30236 2017-06-13
1437696762 Clarissa Alexandra Poole Counselor 2106 Fair Ridge Ct, Jonesboro, GA 30236 2017-01-25
1588012892 Sundance Healthcare Service Inc In Home Supportive Care 7861 Collinswood Court, Jonesboro, GA 30236 2016-05-26
1942669205 Adrianne Smiley Gurley Occupational Therapist 1299 Battlecreek Rd Ste 210, Jonesboro, GA 30236 2016-02-15
1336505809 Integrated Health Center Dentist 8600 Tara Blvd, Suite D, Jonesboro, GA 30236 2016-01-13
1467827402 Surrell Porter Nurse Practitioner 1287 Georgia Highway 138 Spur, Suite 8, Jonesboro, GA 30236 2015-12-02
1740688910 Jacqueline Carolyn Edwards Registered Nurse 8081 Tara Blvd, 265, Jonesboro, GA 30236 2014-12-19
1770991861 Lower Extremity Diagnostics, LLC Podiatrist 6911 Tara Boulevard, Jonesboro, GA 30236 2014-08-01
1760899710 Fresenius Medical Care Jonesboro, LLC Clinic/Center 8060 Summitt Business Parkway, Jonesboro, GA 30236 2014-07-22
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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

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.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538779764 Overcoming: A Private Therapy Practice, LLC Counselor 922 E Craighead Forest Rd Apt N, Jonesboro, AR 72404-8307 2020-08-03
1992346746 June Paulette Edwards Counselor 7697 Highland Park Dr, Jonesboro, GA 30236-2771 2019-10-02
1841758307 Ericka L Williams Counselor 118 North Ave Ste K, Jonesboro, GA 30236-8408 2019-03-04
1366950958 Connections Counseling Center Counselor 300 Mardis Dr, Jonesboro, AR 72404-0525 2018-01-17
1912432188 Wakako Minamotowood Counselor 7744 Newbury Dr, Jonesboro, GA 30236-7312 2017-04-25
1992162358 Donna K. Batchelor-coleman Counselor 1557 Teal Pl, Jonesboro, GA 30236-5055 2016-01-15
1770974461 Faith Open Door Community Center, Inc. Counselor 259 Arrowhead Blvd, C2, Jonesboro, GA 30236-1167 2015-02-17
1639504988 Taelor F. Blankenship Counselor 3700 Access Rd, Jonesboro, AR 72401-8225 2013-09-05
1508112269 Barbara Jean Beeler Counselor 8955 Fayetteville Rd, Jonesboro, GA 30238-4815 2012-07-31
1538461546 Positive Psychotherapy Services Counselor 1504 Merrywood Dr, Jonesboro, AR 72401-5107 2010-11-23
Find all providers in JONESBORO

Competitor

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City JONESBORO
Zip Code 30236

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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