Stacey Rettew, LPC
NPI 1588349500ActiveIndividual· Counselor, Professional· Mantua, NJ
Counselor, Professional (LPC) with Lifebulb LLC, practicing in Mantua, New Jersey. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1588349500 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LPC |
| Sole proprietor | No |
| NPI issued | Jun 19, 2023 |
| Last updated in NPPES | Jun 19, 2023 |
| Certified by provider | Jun 17, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (NJ) |
|---|
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Mental Health Counselor |
Medical group
- Lifebulb LLCToms River, NJ · 103 clinicians
Other Counselor, Professional providers in Mantua
- 1194455295
- 1104600758