Stacey Lee Henline, MA, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2436 Issued in WV

Practice address

1206 Suncrest Town Centre Dr
Morgantown, WV 26505-1828

Phone

(304) 503-6239

Fax

(681) 368-3437

NPI assigned

Nov 9, 2019

Last updated

Jan 19, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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 WV

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mountainview Services, LLC

  dba Ellie Mental Health-West Virginia

  • Clinical Social Worker
  • Morgantown, WV
  • NPI 1235910159
  Medicare reassignment NPD
• GR&W, Inc

  dba GR&W Harmony

  • Clinical Neuropsychologist
  • Morgantown, WV
  • NPI 1407192024
  NPD (past)
• GR&W, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Morgantown, WV
  • NPI 1992665723
  NPD (past)

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

{
    "created_epoch": "1573257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1285279679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 SUNCREST TOWN CENTRE DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265051828",
            "telephone_number": "304-503-6239",
            "fax_number": "681-368-3437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 SUNCREST TOWN CENTRE DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265051828",
            "telephone_number": "304-503-6239",
            "fax_number": "681-368-3437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENLINE",
        "first_name": "STACEY",
        "middle_name": "LEE",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-09",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WV",
            "license": "2436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Hendricks, MD
• Ann Elizabeth Hendrickson, CNS
• Luke Andrew Hendrickson
• Yi Fei Heng
• Kendra Henline, LPC
• Lauren Hennessey, PA-C
• Thomas John Henning, LMT
• Julie Henrich
• Roy E Henrickson, M.D.
• Lisa Mae Henry, FNP-BC

• Professional Counselor in Morgantown, WV
• Providers in Morgantown, WV by specialty
• Professional Counselor in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.