STACIE ANN SELFE (LMFT) – Marriage & Family Therapist, NPI 1912102807

STACIE ANN SELFE (LMFT) is a healthcare provider. based in Cincinnati, Ohio. specializing in MARRIAGE AND FAMILY THERAPIST. They hold the professional credentials LMFT. They hold a License No. MFT001042 (GA). The NPI Number for STACIE ANN SELFE (LMFT) is 1912102807

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
STACIE ANN SELFE (LMFT)
NPI
1912102807
Phone
(859) 757-0717
Address
PO BOX 635283
Enumeration Date
19 June 2007
Last Update Date
4 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8597570717
Graduation Year
2002 (24 years ago)
PAC ID
4880035898
Group Practice PAC ID
2163326240
Professional Enrollment ID
I20240508001994
Address ID
KY410113329CO20XXXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:18State licenses:2Digital endpointsOther names

97 MARRIAGE AND FAMILY THERAPIST in KY

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Provider Addresses for STACIE ANN SELFE (LMFT)

  • Boom Box Buns, 1324, Main Street, Main Street Business District, Over-the-Rhine, Cincinnati, Hamilton County, Ohio, 45202, United States

    CINCINNATI, OH 452635283

    Phone: (859) 757-0717

    Fax: (859) 331-2425

    Type: Mailing

  • 351, Centre View Boulevard, Crestview Hills, Kenton County, Kentucky, 41017, United States

    CRESTVIEW HILLS, KY 410173477

    Phone: (859) 757-0717

    Fax: (859) 331-2425

    Type: Location

  • 20 WEST 18TH STREET

    COVINGTON, KY 410113329

    Phone: (859) 757-0717

    Fax: (859) 331-2425

    Type: Location

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: 2024-05-08

PECOS data refreshed: 2026-06-15

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
I20240508001994IMarriage And Family TherapistKYTBD

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 45263)

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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: 2163326240View full group profile
NameSpecialtyState
H O S P I T A L I S TOH
Family PracticeKY
Family PracticeOH
Marriage And Family TherapistIN
Family PracticeOH
G A S T R O E N T E R O L O G YKY
Clinical Social WorkerKY
-KY
-FL
Nurse PractitionerKY

Reviews

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Frequently asked questions

Can I verify STACIE ANN SELFE (LMFT) with an NPI only?
You can start verification with NPI 1912102807 for STACIE ANN SELFE (LMFT), then check state licensing separately.
Is STACIE ANN SELFE (LMFT) still practicing?
STACIE ANN SELFE (LMFT) is currently listed as active in the public NPI registry.
What is STACIE ANN SELFE (LMFT) best known for clinically?
Directory data describes STACIE ANN SELFE (LMFT) with Marriage & Family Therapist. Clinical services aligned with this taxonomy classification.
Where should I expect STACIE ANN SELFE (LMFT) on a map?
Expect Cincinnati, Ohio as a primary anchor for STACIE ANN SELFE (LMFT) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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