Stacey Long Fain, LPCA

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

A15292 Issued in NC

Practice address

523 Rockingham Rd
Rockingham, NC 28379-3615

Phone

(910) 562-9882

NPI assigned

Jan 25, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Sandhills Behavioral Care, PLLCGroup PAC ID 5193080166, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sandhills Behavioral Care, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rockingham, NC
  • NPI 1437653359

  NC

  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1579910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1194355495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1825",
            "city": "ROCKINGHAM",
            "state": "NC",
            "postal_code": "283801825",
            "telephone_number": "910-562-9882",
            "fax_number": "910-562-9955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 ROCKINGHAM RD",
            "city": "ROCKINGHAM",
            "state": "NC",
            "postal_code": "283793615",
            "telephone_number": "910-562-9882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIN",
        "first_name": "STACEY",
        "middle_name": "LONG",
        "credential": "LPCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-25",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A15292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Enhanced Counseling Solutions, PLLC
• Enrollhere, Inc.
• Esteem Family Life Center LLC
• Esteem Family Life Center LLC
• Atashionna Everett, LCMHCA
• Families Recovery Services, Inc
• Amanda Blair Faulk, MA, LPC, LCAS, NBCC
• Emily Faw
• Samantha Whitley Ferree
• FHPG, LLC

• All providers in Rockingham, NC
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.