STACEY DAWN DAVIS (LCPC) – Professional Counselor, NPI 1316413818

STACEY DAWN DAVIS (LCPC) is a healthcare provider. based in Olathe, Kansas. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LCPC. They hold a License No. 03723 (KS). The NPI Number for STACEY DAWN DAVIS (LCPC) is 1316413818

Main info

Female
32 Years Of Experience
Accepts Medicare Assignment
Name
STACEY DAWN DAVIS (LCPC)
NPI
1316413818
Phone
(913) 424-4823
Address
11644 S WINCHESTER ST
Enumeration Date
23 October 2018
Last Update Date
13 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8163632600
Graduation Year
1994 (32 years ago)
PAC ID
6002336989
Group Practice PAC ID
3971413295
Professional Enrollment ID
I20250221002347
Address ID
MO641143212KA9001XRDXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:7State licenses:2Digital endpointsOther names

1,232 MENTAL HEALTH COUNSELOR in MO

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Provider Addresses for STACEY DAWN DAVIS (LCPC)

  • 11644, South Winchester Street, Aberdeen Village, Olathe, Johnson County, Kansas, 66061, United States

    OLATHE, KS 660617111

    Phone: (913) 424-4823

    Type: Mailing

  • 125, Ward Parkway, South Plaza, Country Club Plaza, Kansas City, Jackson County, Missouri, 64112, United States

    KANSAS CITY, MO 641143340

    Phone: (816) 561-9494

    Type: Location

  • 9001 STATE LINE RD STE 300

    KANSAS CITY, MO 641143212

    Phone: (816) 363-2600

    Fax: (816) 523-0068

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-02-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250221002167IMental Health CounselorKSTBD
I20250221002347IMental Health CounselorMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 66061)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3971413295View full group profile
NameSpecialtyState
Hospice/Palliative CareFL
Nurse PractitionerMO
Hospice/Palliative Care, Internal MedicineIL
Clinical Social WorkerMO
Emergency MedicineMI
Hospice/Palliative Care, AnesthesiologyMO
Nurse PractitionerMO
-MO
Clinical Social WorkerMO
Clinical Social WorkerMO

Reviews

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Frequently asked questions

What is the registry number for STACEY DAWN DAVIS (LCPC)?
The registry entry for STACEY DAWN DAVIS (LCPC) shows NPI 1316413818.
Quick check: is STACEY DAWN DAVIS (LCPC) active?
Public NPPES data shows STACEY DAWN DAVIS (LCPC) with an active NPI status right now.
How should patients interpret STACEY DAWN DAVIS (LCPC)'s specialty?
The extract shows Professional Counselor for STACEY DAWN DAVIS (LCPC). Clinical services aligned with this taxonomy classification.
Is STACEY DAWN DAVIS (LCPC) tied to Olathe, Kansas?
If you are local to Olathe, Kansas, STACEY DAWN DAVIS (LCPC) may be relevant to your search.
Why is information missing for STACEY DAWN DAVIS (LCPC)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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