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

Stacey M Grant

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1184278749

Stacey M Grant is a Mental Health Counselor in Jacksonville, Florida. Qualified in 2017, 9 years ago. Practices with Medical Specialists of Northeast Florida PLLC, a 6-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
9
Licensed in
FL
In the registry since
2019
Specialties on file
3
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Practice location Address checks out

4243 Sunbeam Rd
Jacksonville, FL 32257-8848
Phone: (904) 443-4692
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X (FL)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Mental Health Counselor Taxonomy 101YM0800X · Licence MH24087 (FL)

Record details

NPI number1184278749
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 31, 2019
Last updated in NPPESJuly 24, 2024
Certification dateJuly 24, 2024

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Medical Specialists Of Northeast Florida Pllc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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