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

Stacy Michelle Humphrey, LPC

Individual provider Professional Counselor · NPI 1487810396

Stacy Michelle Humphrey, LPC is a Mental Health Counselor in Texarkana, Texas. Qualified in 2004, 22 years ago. Practices with East Texas Border Health Clinic, a 50-clinician group and accepts Medicare assignment. Licensed in Arkansas and Texas.

Years since qualifying
22
Licensed in
AR, TX
In the registry since
2008
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

1400 College Dr
Texarkana, TX 75503-3536
Phone: (903) 791-1110
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence P0706030 (AR)
Professional Counselor Taxonomy 101YP2500X · Licence 61024 (TX)

Record details

NPI number1487810396
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorYes
NPI enumeratedJuly 30, 2008
Last updated in NPPESAugust 29, 2024
Certification dateAugust 29, 2024

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice East Texas Border Health Clinic — 50 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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