STACIE MAZE (LPC) – Mental Health Counselor, NPI 1679715494
Mental Health Counselor
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for STACIE MAZE (LPC)
PO BOX 720935
OKLAHOMA CITY, OK 731720935
Phone: (580) 478-7777
Type: Mailing
5708 NW 132ND ST STE C
OKLAHOMA CITY, OK 731424430
Phone: (405) 400-1169
Fax: (580) 237-7711
Type: Location
Enid Street, Bermondsey Spa, Bermondsey Village, Bermondsey, London Borough of Southwark, Greater London, England, SE16 3QA, United Kingdom
ENID, OK 737013221
Phone: (580) 234-3791
Fax: (580) 237-7711
Type: Location
10th Street, Woodward, Woodward County, Oklahoma, 73801, United States
WOODWARD, OK 738013156
Phone: (580) 234-3791
Fax: (580) 237-7711
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: 2024-02-19
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240219003526 | I | Mental Health Counselor | TX | TBD |
| I20240219003686 | I | Mental Health Counselor | OK | TBD |
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.
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 73172)
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