MRS. STACEY MASON (LPC) – Professional Counselor, NPI 1073670501

MRS. STACEY MASON (LPC) is a healthcare provider. based in Lees summit, Missouri. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPC. They hold a License No. 2000172763 (MO). The NPI Number for MRS. STACEY MASON (LPC) is 1073670501

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
MRS. STACEY MASON (LPC)
NPI
1073670501
Phone
(816) 523-0103
Address
200 NE MISSOURI RD
Enumeration Date
3 January 2007
Last Update Date
8 January 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8168862184
Graduation Year
1998 (28 years ago)
PAC ID
1850835976
Group Practice PAC ID
4284865056
Professional Enrollment ID
I20240701001367
Address ID
MO640641995LE4045XWAYX402
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,232 MENTAL HEALTH COUNSELOR in MO

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Provider Addresses for MRS. STACEY MASON (LPC)

  • 200, Northeast Missouri Road, Lee's Summit, Jackson County, Missouri, 64086, United States

    SUITE 302

    LEES SUMMIT, MO 640864720

    Phone: (816) 523-0103

    Fax: (816) 361-6471

    Mailing address matches the actual address.

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: 2024-07-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20240701001367IMental 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 64086)

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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: 4284865056View full group profile
NameSpecialtyState
P S Y C H I A T R YVA
Clinical Social WorkerUT
Mental Health CounselorMO
P S Y C H I A T R YMO
Nurse PractitionerKS
Nurse PractitionerMO
P S Y C H I A T R YMO
P S Y C H I A T R YKS
-KS

Reviews

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Frequently asked questions

Is there an official ID for MRS. STACEY MASON (LPC) in U.S. healthcare records?
The official identifier for MRS. STACEY MASON (LPC) is NPI 1073670501.
Is MRS. STACEY MASON (LPC) still an active registrant?
MRS. STACEY MASON (LPC) carries an active NPI according to the public dataset.
What expertise is attributed to MRS. STACEY MASON (LPC)?
MRS. STACEY MASON (LPC)'s specialty line reads Professional Counselor. Clinical services aligned with this taxonomy classification.
Is MRS. STACEY MASON (LPC) associated with Lees Summit?
Public fields place MRS. STACEY MASON (LPC) around Lees Summit, Missouri. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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