Stacey Merrill, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

CC4849 Issued in ME

Practice address

93 Silver St
Waterville, ME 04901-5923

Phone

(207) 873-4253

Fax

(207) 873-3795

NPI assigned

Mar 9, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Stacey Higgins Former name

Medicare fee-for-service enrollment

Enrolled in ME

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

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 and National Provider Directory roles.

• The Counseling Center of Nashua Inc

  • Clinical Psychologist
  • Nashua, NH
  • NPI 1144275389

  ME, Professional

  Medicare reassignment NPD
• The Maine Children'S Home for Little Wanderers

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Waterville, ME
  • NPI 1275682882
  NPD

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

{
    "created_epoch": "1425859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1861885337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 SILVER ST",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049015923",
            "telephone_number": "207-873-4253",
            "fax_number": "207-873-3795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 SILVER ST",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049015923",
            "telephone_number": "207-873-4253",
            "fax_number": "207-873-3795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRILL",
        "first_name": "STACEY",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-09",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ME",
            "license": "XL4440",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ME",
            "license": "CC4849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACEY",
            "last_name": "HIGGINS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Medical Supplies Inc.
• Susan E Melcher, LCPC
• Benjamin Edward Mellady
• Tamara B Mello, LCPC-C
• Kathy E Merrill, SLP
• Norman John Merritt, LPN
• Jennifer Merry
• Nicole Brody Metcalf, MSN, RN, CPNP
• Alexandra Katherine Michaud, LMSW-CC
• Diana Lynn Michaud, PTA

• Professional Counselor in Waterville, ME
• Providers in Waterville, ME by specialty
• Professional Counselor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.