Nicole Victoria Asha Stack
NPI 1073265989ActiveIndividual· Counselor· Puyallup, WA
Counselor with Multicare Health System, practicing in Puyallup, Washington. Enrolled in Medicare as practitioner - marriage and family therapist. Lists Tacoma General Allenmore Hospital as a hospital affiliation.
Overview
| NPI | 1073265989 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jan 21, 2022 |
| Last updated in NPPES | Jan 21, 2022 |
| Certified by provider | Jan 21, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor Primary | 101Y00000X | CG61247305 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Marriage and Family Therapist (WA) |
|---|
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Marriage And Family Therapist |
| Telehealth | Offers telehealth |
Medical group
- Multicare Health SystemTacoma, WA · 2,325 clinicians
Hospital affiliation
- Tacoma General Allenmore HospitalTacoma, WA
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All 195 counselors in Puyallup · All counselors in Washington