STACEY BLOUNT-PARISH, Lifestyle Coach — NPI 1225802382 (Licensed & Credentialed Health & Wellness Coach in CANTON, MS)

CMS-1500 Box 24J / 33a • NPI

1225802382

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

171400000X

Licensed & Credentialed Health & Wellness Coach

Box 32 Service Location & ZIP+4

1668 W PEACE ST, CANTON, MS, 39046

Official NPPES Practice Location

Practice Phone & Referral Fax

(601) 859-5213

Fax: (601) 859-8771

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1225802382 (STACEY BLOUNT-PARISH, Lifestyle Coach) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1225802382` (NPI-1 Individual Practitioner)
Provider / Legal Name	STACEY BLOUNT-PARISH, Lifestyle Coach
Plain-English Specialty	Licensed & Credentialed Health & Wellness Coach NUCC Code: `171400000X` (Health & Wellness Coach)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	1668 W PEACE ST, CANTON, MS, 39046
Practice Telephone / Fax	Tel: (601) 859-5213 \| Fax: (601) 859-8771
Administrative Mailing Address	1668 W PEACE ST, CANTON, MS, 39046
Enumeration & Last Sync	Enumerated: 2023-11-09 \| CMS Record Updated: 2023-11-14

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1668 W PEACE ST, CANTON, MS, 39046

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Plain-English Taxonomy & CMS Crosswalk (171400000X)

What Does Taxonomy Code 171400000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 171400000X translates to:
"Licensed & Credentialed Health & Wellness Coach"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Health & Wellness Coach for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (STACEY BLOUNT-PARISH, Lifestyle Coach)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`171400000X` — Health & Wellness Coach Plain English: Licensed & Credentialed Health & Wellness Coach	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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STACEY BLOUNT-PARISH, Lifestyle Coach (NPI #1225802382)