STACEY JOHN MHC-LP
NPI 1063199248
Counselor - Mental Health in Elmont, NY

Active since June 29, 2023PECOS EnrolledAccepts Medicare Assignment
2039 MURRAY HILL ST, ELMONT, NY 11003(516) 712-0308 Get Directions Write a Review

NPPES record last updated: June 29, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stacey John Mhc-lp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACEY JOHN MHC-LP (NPI 1063199248) is an individual mental health provider in Elmont, New York and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1063199248
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSTACEY JOHNCredential: MHC-LP
Location Address2039 MURRAY HILL STElmont, NY 11003-2100
Mailing Address2039 Murray Hill StElmont, NY 11003-2100 · (516) 712-0308
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateJune 29, 2023
NPPES CertifiedJune 29, 2023
NPI 1063199248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2039 MURRAY HILL ST, Elmont, NY 11003

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Stacey John Mhc-lp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3072004159
PECOS Enrollment IDI20251117002624
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacey John's NPI number?

The NPI number for Stacey John is 1063199248. It was assigned to this individual provider in the NPPES registry on June 29, 2023.

Where is Stacey John located?

Stacey John practices at 2039 Murray Hill St, Elmont, NY 11003. The listed phone number is (516) 712-0308.

What is Stacey John's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Stacey John enrolled in Medicare?

Yes. Stacey John is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Stacey John was last updated on June 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.