STACEY ANNETTE LIGHT (NPI# 1235495953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235495953 |
| Entity Type | Individual |
| Full Name | STACEY ANNETTE LIGHT |
| Practice Address |
405 Nc Hwy 65 Wentworth NC 27375-0355 |
| Mailing Address |
284 Executive Park Dr Suite 100 Concord NC 28025-1894 |
| Practice Telephone | 3363428316 |
| Mailing Telephone | 7049391100 |
| Mailing Fax Number | 7049391173 |
| Enumeration Date | 2012-04-06 |
| Last Update Date | 2012-04-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
405 NC HWY 65 |
| City | WENTWORTH |
| State | NC |
| Zip Code | 27375-0355 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013052471 | Annette Elizabeth Jones | Counselor | 405 Nc Hwy 65, Wentworth, NC 27375 | 2007-02-21 |
| 1538566815 | Evelyn Reed | Registered Nurse | 405 Nc Hwy 65, Wentworth, NC 27375 | 2014-12-02 |
| 1790192748 | Bobbie Jo Harris | Registered Nurse | 405 Nc Hwy 65, Wentworth, NC 27375 | 2014-07-22 |
| 1275965089 | Christopher Revelle | Counselor | 405 Nc Hwy 65, Wentworth, NC 27375 | 2013-08-02 |
| 1528402047 | Brittney Sherrill | Counselor | 405 Nc Hwy 65, Wentworth, NC 27375 | 2013-04-26 |
| 1386984532 | Tonya Butcher | Registered Nurse | 405 Nc Hwy 65, Wentworth, NC 27375 | 2013-02-26 |
| 1073851705 | Mary Moorefield Cashatt | Registered Nurse | 405 Nc Hwy 65, Wentworth, NC 27375-0355 | 2013-01-31 |
| 1255678462 | Anthony Mclean | Counselor | 405 Nc Hwy 65, Wentworth, NC 27375-0355 | 2013-01-08 |
| 1255614814 | Michael Thomas Louie | Counselor | 405 Nc Hwy 65, Wentworth, NC 27375-0355 | 2011-09-21 |
| 1821370735 | Janet Hall | Counselor | 405 Nc Hwy 65, Wentworth, NC 27375-0355 | 2011-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982971974 | Shatanya L Walker | Counselor | 335 County Home Rd., Wentworth, NC 27375 | 2011-11-19 |
| 1487722344 | Anita I Knight | Registered Nurse | 1105 Nc 65, Wentworth, NC 27375 | 2006-11-30 |
| 1750462131 | Thomas K Johnstone | Physician Assistant | 371 Nc 65 Hwy, Wentworth, NC 27375 | 2006-10-18 |
| 1306947445 | Rockingham County Finance Office | Clinic/Center | 371 Nc Highway 65, Wentworth, NC 27375 | 2006-09-25 |
| 1801158761 | Onitisha V Anders | Nurse Practitioner | 371 Nc Highway 65, Wentworth, NC 27375 | 2012-06-15 |
| 1013114701 | O'laf Sorento Massenburg | Physician Assistant | 371 Nc Highway 65, Wentworth, NC 27375 | 2007-06-27 |
| 1912075870 | Carl Raymond Britton Watkins | Counselor | 405 Nc 65, Wentworth, NC 27375 | 2006-11-30 |
| 1023186988 | Martha Wellmon Cash | Social Worker | 405 Nc 65, Wentworth, NC 27375 | 2006-11-30 |
| 1508945866 | Rochelle D Muse | Family Medicine | 371 Nc Hwy 65, Suite 204, Wentworth, NC 27375 | 2006-11-06 |
| 1487735866 | Debra Allen | Nurse Practitioner | 371 Nc Hwy 65, Ste 204, Wentworth, NC 27375 | 2006-10-18 |
| Find all providers in zip 27375 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598031478 | Tamara Scharell Pickard | Counselor | 405 Hwy 65, Wentworth, NC 27375-0355 | 2012-03-26 |
| 1982971974 | Shatanya L Walker | Counselor | 335 County Home Rd., Wentworth, NC 27375 | 2011-11-19 |
| 1598063349 | Susan H. Hoover | Counselor | 405 Nc Hwy, Wentworth, NC 27375-0355 | 2011-03-03 |
| 1356575021 | Chandra Malette Caple | Counselor | 215 Wrenn Memorial Road, Hwy 65, Wentworth, NC 27375-0038 | 2009-05-11 |
| 1275965089 | Christopher Revelle | Counselor | 405 Nc Hwy 65, Wentworth, NC 27375 | 2013-08-02 |
| 1255678462 | Anthony Mclean | Counselor | 405 Nc Hwy 65, Wentworth, NC 27375-0355 | 2013-01-08 |
| 1235474040 | Mona Aguilar | Counselor | 405 Nc Highway 65, Wentworth, NC 27375-0355 | 2012-12-05 |
| 1053656850 | Craig Muhammad | Counselor | 405 Nc Highway 65, Wentworth, NC 27375-0355 | 2012-12-05 |
| 1255614814 | Michael Thomas Louie | Counselor | 405 Nc Hwy 65, Wentworth, NC 27375-0355 | 2011-09-21 |
| 1821370735 | Janet Hall | Counselor | 405 Nc Hwy 65, Wentworth, NC 27375-0355 | 2011-09-16 |
| Find all providers in WENTWORTH | ||||
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| 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.