Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Stacey Koekkoek

Organization Mental Health Counselor · NPI 1316364375

Stacey Koekkoek is a Mental Health Counselor in Wayland, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2014.

Licensed in
MA
In the registry since
2014

Practice location Address checks out

260 Boston Post Rd Ste 11
Wayland, MA 01778-1889
Phone: (508) 276-1743
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 8490 (MA)

Record details

NPI number1316364375
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stacey Koekkoek — Psychotherapist/Dietitian · (508) 276-1743
NPI enumeratedMarch 27, 2014
Last updated in NPPESApril 4, 2017
Mailing address260 Boston Post Rd, Suite 11, Wayland, MA 01778-1889

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