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

Individual provider Professional Counselor · NPI 1356623979

Mrs. Stacy Jean Smith, LPC is a Mental Health Counselor in Wasilla, Alaska. Qualified in 1999, 27 years ago. Practices with Mental Health Specialty Group PA, a 679-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
27
Licensed in
TX
In the registry since
2011
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

945 E Ashwood Loop
Wasilla, AK 99654-1412
Phone: (830) 343-7025
Fax: (830) 990-7999
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 16739 (TX)

Record details

NPI number1356623979
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorYes
NPI enumeratedSeptember 10, 2011
Last updated in NPPESAugust 5, 2026
Certification dateAugust 5, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Mental Health Specialty Group Pa — 679 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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