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

Stacey Lynn Ford, LPC

Individual provider Professional Counselor · NPI 1326158353

Stacey Lynn Ford, LPC is a Mental Health Counselor in Jacksonville, North Carolina. Qualified in 2003, 23 years ago. Accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
23
Licensed in
NC
In the registry since
2006
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

200 Valencia Dr Ste 137
Jacksonville, NC 28546-6313
Phone: (910) 353-1957
Fax: (910) 353-2516
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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 5302 (NC)

Record details

NPI number1326158353
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorNo
NPI enumeratedAugust 31, 2006
Last updated in NPPESJune 16, 2009

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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