Stacy Michelle Humphrey, LPC in Texarkana, AR

Stacy Michelle Humphrey, LPC is a medicare enrolled "Counselor - Professional" provider in Texarkana, Arkansas. Her current practice location is 2118 N State Line Ave, Texarkana, Arkansas. You can reach out to her office (for appointments etc.) via phone at (870) 774-1333.

Stacy Michelle Humphrey is licensed to practice in Arkansas (license number P0706030) 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 1487810396.

Contact Information

	Stacy Michelle Humphrey, LPC
	2118 N State Line Ave, Texarkana, AR 71854-3583
	(870) 774-1333
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Stacy Michelle Humphrey
Gender	Female
Speciality	Counselor - Professional
Location	2118 N State Line Ave, Texarkana, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487810396
Provider Enumeration Date: 07/30/2008
Last Update Date: 07/11/2023

Medicare PECOS Information:

PECOS PAC ID: 3678996972
Enrollment ID: I20231218004212

Medical Identifiers

Medical identifiers for Stacy Michelle Humphrey such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487810396	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	61024 (Texas)	Secondary
101YP2500X	Counselor - Professional	P0706030 (Arkansas)	Primary

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. Stacy Michelle Humphrey allows following entities to bill medicare on her behalf.

Entity Name	East Texas Border Health Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558329797 PECOS PAC ID: 8820038565 Enrollment ID: O20050511001030

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. Stacy Michelle Humphrey 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
Stacy Michelle Humphrey, LPC 2118 N State Line Ave, Texarkana, AR 71854-3583 Ph: (870) 774-1333	Stacy Michelle Humphrey, LPC 2118 N State Line Ave, Texarkana, AR 71854-3583 Ph: (870) 774-1333

Reviews and Comments

Counselor in Texarkana, AR

Terry Jerome Williams, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2904 Arkansas Blvd, Texarkana, AR 71854 Phone: 870-773-4655 Fax: 870-772-4650
Carlotta A Powell, ADC,CS,PRSS Counselor Medicare: Not Enrolled in Medicare Practice Location: 7000 N Stateline Ave, Texarkana, AR 71854 Phone: 870-774-1315
Angela Mckinney, Counselor Medicare: Not Enrolled in Medicare Practice Location: 701 Arkansas Blvd, Texarkana, AR 71854 Phone: 870-772-5028
Anna M Mcbee, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7000 N Stateline Ave, Texarkana, AR 71854 Phone: 870-774-1315
George Ramser, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 701 Arkansas Blvd, Texarkana, AR 71854 Phone: 870-772-5028 Fax: 870-772-5056
Shalundrea Lavaughn Cleveland, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4323 Jefferson Ave, Texarkana, AR 71854 Phone: 870-773-0700 Fax: 870-773-0705
Rustin Green, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4323 Jefferson Ave, Texarkana, AR 71854 Phone: 870-773-0700 Fax: 870-773-0705

Stacy Michelle Humphrey, LPC - Medicare Counselor in Texarkana, AR