Individual provider Active NPI

Stacey Herreid-Halstead, BS, LPC

  • Professional Counselor
  • Abington, PA
National Provider Identifier
1659406635
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC016495 Issued in PA
Practice address
2 Hidden LN
Abington, PA 19001-4603
Phone
(267) 209-0449
NPI assigned
Feb 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2024

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 PC016495 PA Primary

Addresses

Primary practice location

2 Hidden LN
Abington, PA 19001-4603

Mailing address

144 Berkeley Rd
Glenside, PA 19038-3302
Phone (215) 718-7974

Other names 1

  • Miss Stacey Herreid Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20251124000075 PA Practitioner - Mental Health Counselor 2567954928 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2 Hidden LN
Abington, PA 19001-4603
Phone (267) 209-0449

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
PC016495PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Open to Grace Wellness Professional CurrentSince Oct 1, 2025 Accepting new patients
Integrative Mental Health & Wellness, LLC CurrentSince Dec 7, 2025 Accepting new patients

Locations

2 Hidden Ln
Abington, PA 19001
Phone (267) 209-0398

941 Old York Rd
Abington, PA 19001
Phone (267) 209-0449

1707 Langhorne Newtown Rd
Langhorne, PA 19047
Phone (267) 209-0449

Organizations & group practices 2

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": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1659406635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 BERKELEY RD",
            "city": "GLENSIDE",
            "state": "PA",
            "postal_code": "190383302",
            "telephone_number": "215-718-7974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 HIDDEN LN",
            "city": "ABINGTON",
            "state": "PA",
            "postal_code": "190014603",
            "telephone_number": "267-209-0449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERREID-HALSTEAD",
        "first_name": "STACEY",
        "name_prefix": "Mrs.",
        "credential": "BS, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC016495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACEY",
            "last_name": "HERREID",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Abington, PA

Sources for this page

Verify at the official NPI Registry.