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

Stacie L Leclerc

Individual provider Mental Health Counselor · NPI 1467636167

Stacie L Leclerc is a Mental Health Counselor in Conway, New Hampshire. Qualified in 1997, 29 years ago. Practices with Blue Heron Neurofeedback and Counseling, a 2-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in New Hampshire.

Years since qualifying
29
Licensed in
NH
In the registry since
2007
Specialties on file
2
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Practice location Address checks out

379 White Mountain Hwy
Conway, NH 03818-4206
Phone: (603) 356-6400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 515 Main St, Gorham, NH 03581-4901 — (603) 356-6400
  • 111 Saranac St Ste 140, Littleton, NH 03561-4089 — (603) 356-6400

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 739 (NH)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 0960 (NH)

Record details

NPI number1467636167
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 18, 2007
Last updated in NPPESJanuary 30, 2026
Certification dateJanuary 30, 2026
Mailing address286 Town Hall Rd, Intervale, NH 03845-6108

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Blue Heron Neurofeedback And Counseling — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Conway