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BLUE HERON NEUROFEEDBACK AND COUNSELING
NPI 1669039178
Clinic/Center - Multi-Specialty in Conway, NH

Active since May 21, 2019CLIA Certified · 2 labs
379 WHITE MOUNTAIN HWY, CONWAY, NH 03818(603) 356-6400(603) 413-4666 Get Directions Write a Review

NPPES record last updated: November 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 11, 2025, Aug 1, 2022, Jul 26, 2022 and 5 more (8 updates tracked since 2019).

About Blue Heron Neurofeedback And Counseling NPPES

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

BLUE HERON NEUROFEEDBACK AND COUNSELING (NPI 1669039178) is a healthcare organization registered as a multi-specialty in Conway, New Hampshire and active in the NPI registry since May 2019. The organization holds 2 active CLIA laboratory certificates, maintains 2 additional practice locations, and lists Stacie L Leclerc, Owner, as its authorized official.

NPPES Registry Identity

NPI1669039178
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameBLUE HERON NEUROFEEDBACK AND COUNSELING
Location Address379 WHITE MOUNTAIN HWYConway, NH 03818-4206
Mailing Address111 Saranac St Ste 140Littleton, NH 03561-4089 · (603) 356-6400 · Fax (603) 413-4666
Phone(603) 356-6400
Fax(603) 413-4666
Organization SubpartNo
Authorized OfficialStacie L LeclercOwner · (603) 356-6400
Enumeration DateMay 21, 2019
Last NPPES UpdateNovember 11, 20258 updates tracked since enumeration
NPPES CertifiedNovember 11, 2025
✔ NPI 1669039178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
Also ListedPsychologistTaxonomy 103T00000X
Also ListedPsychologist · Addiction (Substance Use Disorder)Taxonomy 103TA0400X
Also ListedMarriage & Family TherapistTaxonomy 106H00000X
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X
379 WHITE MOUNTAIN HWY, Conway, NH 03818
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Secondary Practice Locations 2

Location 1515 Main StGorham, NH 03581-4901 · Phone (603) 356-6400 ext. 1 · Fax (603) 413-4666
Location 2111 Saranac St Ste 140Littleton, NH 03561-4089 · Phone (603) 356-6400 ext. 1 · Fax (603) 413-4666

Other Identifiers 8

Medicaid3138509NH
Medicaid3147125NH
Medicaid3118551NH
Medicaid3149511NH
Medicaid3148512NH
Medicaid3138507NH
Medicaid3138508NH
Medicaid3147950NH

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 30D2330333

Blue Heron Neurofeedback & Counseling · Gorham, NH
Active · expires Sep 14, 2027
CLIA Number30D2330333
Laboratory TypePractitioner Other
Certificate Effective DateSeptember 15, 2025
Certificate Expiration DateSeptember 14, 2027
Laboratory DirectorLydia Mckenzie
Laboratory Phone(603) 356-6400
Laboratory LocationBlue Heron Neurofeedback & Counseling515 Main St, Gorham, NH 03581
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 30D2330336

Blue Heron Neurofeedback & Counseling · Littleton, NH
Active · expires Sep 14, 2027
CLIA Number30D2330336
Laboratory TypePractitioner Other
Certificate Effective DateSeptember 15, 2025
Certificate Expiration DateSeptember 14, 2027
Laboratory DirectorLydia Mckenzie
Laboratory Phone(603) 356-6400
Laboratory LocationBlue Heron Neurofeedback & Counseling111 Saranac St, Ste 140, Littleton, NH 03561
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STACIE L LECLERC
Counselor (Mental Health)
379 WHITE MOUNTAIN HWY
CONWAY, NH 03818
Carroll County (603) 356-6400

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 Blue Heron Neurofeedback And Counseling's NPI number?

The NPI number for Blue Heron Neurofeedback And Counseling is 1669039178. It was assigned to this organization in the NPPES registry on May 21, 2019.

Where is Blue Heron Neurofeedback And Counseling located?

Blue Heron Neurofeedback And Counseling is located at 379 White Mountain Hwy, Conway, NH 03818. The listed phone number is (603) 356-6400.

What is Blue Heron Neurofeedback And Counseling's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Blue Heron Neurofeedback And Counseling hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Blue Heron Neurofeedback And Counseling accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield and WellSense Health Plan list Blue Heron Neurofeedback And Counseling as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Blue Heron Neurofeedback And Counseling was last updated on November 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.