Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nicole Victoria Asha Stack

Individual provider Counselor · NPI 1073265989

Nicole Victoria Asha Stack is a Marriage and Family Therapist in Puyallup, Washington. Qualified in 2022, 4 years ago. Practices with Multicare Health System, a 2,302-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Washington.

Years since qualifying
4
Licensed in
WA
In the registry since
2022
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Practice location Address checks out

325 E Pioneer
Puyallup, WA 98372-3265
Phone: (253) 697-8400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence CG61247305 (WA)

Record details

NPI number1073265989
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 21, 2022
Last updated in NPPESJanuary 21, 2022
Certification dateJanuary 21, 2022

Medicare enrollment

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

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Multicare Health System — 2302 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

Other providers in Puyallup