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Nicole Victoria Asha Stack

Counselor • Puyallup, WA

Active NPI 1073265989 Individual Practitioner Female Practitioner Accepts Medicare assignment Telehealth (some services)
Practice location in NPPES

325 E Pioneer
Puyallup, WA 983723265

Call 2536978400 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

325 E Pioneer

Puyallup, WA 983723265

Telephone 2536978400
Organization at the Same NPPES Address or Phone
Multicare Health Systems Facility NPI 1548565393

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Multicare Health System. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2022

Years since graduation

4 years (graduated 2022)

CMS Doctors and Clinicians data list 2022 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

Telehealth (some services)

Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.

What this does not show: Telehealth (some services)

It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Nicole Stack has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Nicole Stack as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Puyallup and Washington

192 active clinicians are listed under Counselor with a practice address in Puyallup, WA (11,352 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Puyallup

0.5% of these 192 clinicians have the CMS telehealth indicator.

1% of these 192 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-01-21
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

License # reported to NPPES WA CG61247305

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - MARRIAGE AND FAMILY THERAPIST

Medicare Enrollment ID

I20250711001368

Enrollment State Jurisdiction

WA

PECOS Control ID

6406361286

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Multicare Health System

317 Martin Luther King Jr Way, Tacoma, WA 984054234

Multicare Health System

4545 Point Fosdick Dr, Gig Harbor, WA 983351700

Phone: 2535308011

Multicare Health System

315 Martin Luther King Jr Way, Tacoma, WA 984054234

Phone: 2534032130

Multicare Health System

4700 Point Fosdick Dr, Gig Harbor, WA 983351706

Multicare Health System

317 Mlk Jr Way, Tacoma, WA 984054234

Phone: 2534031126

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

3 listed
Roza Bockelman , LICSW, CDP

Social Worker - Clinical

NPI 1013074954

Licensed Independent Clinical Social Worker, CDP

Amber Rolfe

Counselor - Mental Health

NPI 1053745174
Dr. Junko Yasuda-Free , DO

Psychiatry & Neurology - Psychiatry

NPI 1033401161

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History

NPI enumerated January 21, 2022.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from February 2022 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1073265989
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 21, 2022
Last Update: January 21, 2022
Sole Proprietor: No

Mailing Address

325 E Pioneer

Puyallup, WA 983723265

Phone: 2536978400

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.