Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Staci Koetter, LPC-S

Individual provider Professional Counselor · NPI 1366089054

Staci Koetter, LPC-S is a Mental Health Counselor in Wichita Falls, Texas. Qualified in 2015, 11 years ago. Practices with Micah Boyer MD, a 15-clinician group and accepts Medicare assignment.

Years since qualifying
11
In the registry since
2019
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Practice location Address checks out

1501 Brook Ave
Wichita Falls, TX 76301-5657
Phone: (940) 723-4488
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X

Record details

NPI number1366089054
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC-S
Sole proprietorYes
NPI enumeratedDecember 2, 2019
Last updated in NPPESSeptember 7, 2026
Certification dateSeptember 7, 2026

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Micah Boyer Md — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Colleagues at Micah Boyer MD

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 15 clinicians in the practice; 11 are shown here.

Other providers in Wichita Falls