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

Mrs. Stacy Marie Stefaniak Luther, PSYD

Individual provider Professional Counselor · NPI 1649666926

Mrs. Stacy Marie Stefaniak Luther, PSYD is a Clinical Psychologist in Wausau, Wisconsin. Qualified in 2018, 8 years ago. Practices with Behavioral Health Clinic LLC, a 44-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.

Years since qualifying
8
Licensed in
WI
In the registry since
2015
Specialties on file
2
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

630 S 36th Ave
Wausau, WI 54401-3930
Phone: (715) 842-9500
Fax: (715) 848-0425
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 4116-57 (WI)
Professional Counselor Taxonomy 101YP2500X · Licence 2499 - 226 (WI)

Record details

NPI number1649666926
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorNo
NPI enumeratedApril 13, 2015
Last updated in NPPESDecember 13, 2022
Certification dateDecember 13, 2022

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Behavioral Health Clinic Llc — 44 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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