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

Nicole Victoria Asha Stack

Individual provider Counselor · NPI 1073265989

Nicole Victoria Asha Stack is a Marriage and Family Therapist in Puyallup, Washington. Qualified in 2022, 4 years ago. Practices with Multicare Health System, a 2,302-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Washington.

Years since qualifying
4
Licensed in
WA
In the registry since
2022
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Practice location Address checks out

325 E Pioneer
Puyallup, WA 98372-3265
Phone: (253) 697-8400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence CG61247305 (WA)

Record details

NPI number1073265989
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 21, 2022
Last updated in NPPESJanuary 21, 2022
Certification dateJanuary 21, 2022
Mailing address325 E Pioneer, Puyallup, WA 98372-3265

Medicare enrollment

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

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Multicare Health System — 2302 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

Other providers in Puyallup