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Stacy Michelle Lookout, LPC, PMH-C

Counselor, Professional in Collinsville, OK. Individual provider (NPI-1).

NPI number1366869232
StatusActive
Last updated in NPPESJan 3, 2025

Details

NPI
1366869232
Entity type
Individual (NPI-1)
Name
Stacy Michelle Lookout
Credential
LPC, PMH-C
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 27, 2014
Certification date
Jan 3, 2025
Last updated
Jan 3, 2025

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, Professional6702OKYes
101YM0800X Counselor, Mental Health––

Other names

  • Stacy Michelle Kirk (Former Name)

Practice location

6706 E 136th St N
Collinsville, OK 74021-5774

Phone 918-949-0027

Mailing address

6706 E 136th St N
Collinsville, OK 74021-5774

Phone 918-949-0027

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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