Individual provider Active NPI

Stacy Lynn McCaughn, LMHC

  • Mental Health Counselor
  • Elkhart, IN
National Provider Identifier
1801307954
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
39003096A Issued in IN
Practice address
3120 Windsor CT
Elkhart, IN 46514-5556
Phone
(855) 267-1700
NPI assigned
Oct 17, 2017
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 39003096A IN Primary

Addresses

Primary practice location

3120 Windsor CT
Elkhart, IN 46514-5556

Mailing address

33827 Woodmont Ridge Dr
New Carlisle, IN 46552-8223
Phone (219) 718-2183

Other practice location 1

3201 E Center Street Ext
Warsaw, IN 46582-3907
Phone (574) 231-7292

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20240912003179 IN Practitioner - Mental Health Counselor 7113467465 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reflections CounselingGroup PAC ID 1153624812, 6 clinicians

Practice addresses (Care Compare)

3220 E Jefferson Blvd
South Bend, IN 46615-3028
Phone (574) 222-2466

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
39003096AINMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Reflections Counseling CurrentSince Aug 20, 2024 Accepting new patients
Healthlinc, Inc CurrentSince Feb 25, 2026 Accepting new patients
Healthlinc, Inc CurrentSince Feb 25, 2026 Accepting new patients
Dr Heather Holleman LLC CurrentSince Aug 20, 2024 Accepting new patients

Locations

236 Simpson Ave
Elkhart, IN 46516
Phone (574) 293-0052

3220 E Jefferson Blvd
South Bend, IN 46615
Phone (574) 222-2466

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1508198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1801307954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33827 WOODMONT RIDGE DR",
            "city": "NEW CARLISLE",
            "state": "IN",
            "postal_code": "465528223",
            "telephone_number": "219-718-2183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 WINDSOR CT",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465145556",
            "telephone_number": "855-267-1700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3201 E Center Street Ext",
            "address_purpose": "LOCATION",
            "city": "Warsaw",
            "state": "IN",
            "postal_code": "465823907",
            "country_code": "US",
            "telephone_number": "574-231-7292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCAUGHN",
        "first_name": "STACY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-17",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39003096A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkhart, IN

Sources for this page

Verify at the official NPI Registry.