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

Stacey King, LPCIT

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1649733189

Stacey King, LPCIT is a Mental Health Counselor in Brown Deer, Wisconsin. Qualified in 2022, 4 years ago. Licensed in Wisconsin.

Years since qualifying
4
Licensed in
WI
In the registry since
2019
Specialties on file
2

Practice location Address checks out

3900 W Brown Deer Rd Ste 200
Brown Deer, WI 53209-1220
Phone: (414) 540-2170
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 7088-226 (WI)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 18842-130 (WI)

Record details

NPI number1649733189
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPCIT
Sole proprietorNo
NPI enumeratedApril 11, 2019
Last updated in NPPESSeptember 13, 2022
Certification dateSeptember 13, 2022
Mailing address611a N 62nd St, Wauwatosa, WI 53213-4171

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated

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