Individual provider Active NPI

Stacey Lynn Huff, LPC

  • Professional Counselor
  • Gainesville, GA
National Provider Identifier
1518759588
Registry record updated Jul 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC015562 Issued in GA
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

Updated by the provider on Jul 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251124001170 GA Practitioner - Mental Health Counselor 0042702425 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
LPC015562GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Divine Grind Wellness, LLC Mental Health CurrentSince Oct 15, 2025 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

Verify at the official NPI Registry.