Stacie L Leclerc, in Conway, NH - Medicare Counselor Provider

Stacie L Leclerc, is a medicare enrolled "Counselor - Mental Health" provider in Conway, New Hampshire. Her current practice location is 379 White Mountain Hwy, Conway, New Hampshire. You can reach out to her office (for appointments etc.) via phone at (603) 356-6400.

Stacie L Leclerc is licensed to practice in New Hampshire (license number 739) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1467636167.

Contact Information

	Stacie L Leclerc,
	379 White Mountain Hwy, Conway, NH 03818-4206
	(603) 356-6400
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Stacie L Leclerc
Gender	Female
Speciality	Counselor - Mental Health
Location	379 White Mountain Hwy, Conway, New Hampshire
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1467636167
Provider Enumeration Date: 12/18/2007
Last Update Date: 01/30/2026

Medicare PECOS Information:

PECOS PAC ID: 6103353958
Enrollment ID: I20250103000104

Medical Identifiers

Medical identifiers for Stacie L Leclerc such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467636167	NPI	-	NPPES
3111019	Medicaid	NH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	739 (New Hampshire)	Primary
101YA0400X	Counselor - Addiction (substance Use Disorder)	0960 (New Hampshire)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Stacie L Leclerc allows following entities to bill medicare on her behalf.

Entity Name	Blue Heron Neurofeedback And Counseling
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669039178 PECOS PAC ID: 5294262044 Enrollment ID: O20241218002466

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stacie L Leclerc is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Stacie L Leclerc, 286 Town Hall Rd, Intervale, NH 03845-6108 Ph: (603) 356-6400	Stacie L Leclerc, 379 White Mountain Hwy, Conway, NH 03818-4206 Ph: (603) 356-6400

Reviews and Comments

Counselor in Conway, NH

Christopher Henry Wong, LCMHC, MSED Counselor Medicare: Not Enrolled in Medicare Practice Location: 81 Washington St, Conway, NH 03818 Phone: 603-447-2453
Nancy Lohmiller, LICSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 25 W Main St, Conway, NH 03818 Phone: 603-447-2111 Fax: 603-447-1021
Steven Arnold, LCMHC, LADC-LCS Counselor Medicare: Not Enrolled in Medicare Practice Location: 87 Washington St, Conway, NH 03818 Phone: 800-439-3347
Dr. Nicholas William White, DA, LCSW, MLADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 30 Pleasant Street, Conway, NH 03818 Phone: 603-447-3329
Edward Baldwin Iii, M.ED. LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 25 W Main St, Conway, NH 03818 Phone: 603-447-2111 Fax: 603-447-2102
Ms. Melanie Bova, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 90 Odell Hill Rd, Conway, NH 03818 Phone: 603-651-5019
Ms. Stephanie Alice Gould, MED.,LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 25 W Main St, Conway, NH 03818 Phone: 603-447-2111

Stacie L Leclerc, - Medicare Counselor in Conway, NH