Active NPI
Stacey Lynn Huff, LPC
- Professional Counselor
- Gainesville, GA
National Provider Identifier
1518759588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC015562
- Practice address
- 1514 Hollywood Ave
Gainesville, GA 30501-1608 - Phone
- (470) 768-1610
- NPI assigned
- May 19, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC015562 | GA | Primary |
Addresses
Primary practice location
1514 Hollywood Ave
Gainesville, GA 30501-1608
Mailing address
1514 Hollywood Ave
Gainesville, GA 30501-1608
Phone (706) 499-3250
Other practice location 1
100 Main St SW Ste 211
Gainesville, GA 30501-3706
Phone (470) 768-1610
Other practice location 2
2390 Thompson Bridge Rd
Gainesville, GA 30501-1129
Phone (470) 768-1610
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1514 Hollywood Ave
Gainesville, GA 30501-1608
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC015562 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Divine Grind Wellness, LLC | Mental Health | Current | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752883200000",
"number": "1518759588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1514 HOLLYWOOD AVE",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305011608",
"telephone_number": "706-499-3250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1514 HOLLYWOOD AVE",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305011608",
"telephone_number": "470-768-1610"
}
],
"practiceLocations": [
{
"address_1": "100 Main St SW Ste 211",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "GA",
"postal_code": "305013706",
"country_code": "US",
"telephone_number": "470-768-1610",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2390 Thompson Bridge Rd",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "GA",
"postal_code": "305011129",
"country_code": "US",
"telephone_number": "470-768-1610",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUFF",
"first_name": "STACEY",
"middle_name": "LYNN",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-05-19",
"last_updated": "2025-07-19",
"certification_date": "2025-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC015562",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2025; 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.