Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Stacey John, MHC-LP

Individual provider Mental Health Counselor · NPI 1063199248

Stacey John, MHC-LP is a Mental Health Counselor in Elmont, New York. Qualified in 2022, 4 years ago. Practices with Cs Medical Associates, PC, a 63-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
4
Licensed in
NY
In the registry since
2023
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Practice location Address checks out

2039 Murray Hill St
Elmont, NY 11003-2100
Phone: (516) 712-0308
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X (NY)

Record details

NPI number1063199248
Entity typeIndividual (Type 1)
GenderFemale
Credentials MHC-LP
Sole proprietorYes
NPI enumeratedJune 29, 2023
Last updated in NPPESJune 29, 2023
Certification dateJune 29, 2023
Mailing address2039 Murray Hill St, Elmont, NY 11003-2100

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Cs Medical Associates, Pc — 63 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Elmont