Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Blue Heron Neurofeedback and Counseling

Multi-Specialty Clinic/Center in Conway, NH · enumerated 2019 · authorized official Stacie Leclerc, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1669039178

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Registry record

Entity type Organization (Type 2)

Legal business name Blue Heron Neurofeedback and Counseling

Practice address 379 White Mountain Hwy, Conway, NH, 03818

Phone (603) 356-6400

Fax (603) 413-4666

Enumeration date May 21, 2019

Last updated in NPPES Nov 11, 2025

Taxonomy & classification

101YA0400X Addiction (Substance Use Disorder) Counselor Behavioral Health & Social Service Providers Secondary

103T00000X Psychologist Behavioral Health & Social Service Providers Secondary

103TA0400X Addiction (Substance Use Disorder) Psychologist Behavioral Health & Social Service Providers Secondary

106H00000X Marriage & Family Therapist Behavioral Health & Social Service Providers Secondary

261QM1300X Multi-Specialty Clinic/Center Ambulatory Health Care Facilities Primary

261QR0405X Substance Use Disorder Rehabilitation Clinic/Center Ambulatory Health Care Facilities Secondary

Authorized official

Name Stacie Leclerc

Title Owner

Phone (603) 356-6400

Other identifiers

Identifier	Type	State	Issuer
3138509	Medicaid	NH	-
3147125	Medicaid	NH	-
3118551	Medicaid	NH	-
3149511	Medicaid	NH	-
3148512	Medicaid	NH	-
3138507	Medicaid	NH	-
3138508	Medicaid	NH	-
3147950	Medicaid	NH	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

What type of organization is Blue Heron Neurofeedback and Counseling?

Blue Heron Neurofeedback and Counseling is registered in NPPES as a Multi-Specialty Clinic/Center (its primary provider taxonomy).

Providers at this address

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Stacie Leclerc Mental Health Counselor · Conway, NH NPI 1467636167

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-11-11.