Blue Heron Neurofeedback and Counseling
NPI 1669039178 · Multi-Specialty Clinic/Center · Conway, NH
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Blue Heron Neurofeedback and Counseling is a Multi-Specialty Clinic/Center organization in Conway, NH (NPI 1669039178).
Provider details
- NPI number
- 1669039178
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Stacie Leclerc, Owner(603) 356-6400
Specialties & taxonomies
Ambulatory Health Care Facilities
Behavioral Health & Social Service Providers
- Psychologist103T00000X
Behavioral Health & Social Service Providers
Ambulatory Health Care Facilities
- Marriage & Family Therapist106H00000X
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 515 Main StGorham, NH 03581-4901Phone: (603) 356-6400Fax: (603) 413-4666
- 111 Saranac St Ste 140Littleton, NH 03561-4089Phone: (603) 356-6400Fax: (603) 413-4666
Registry dates
- Enumerated
- 2019-05-21
- Last updated
- 2025-11-11
- Certified
- 2025-11-11
Frequently asked questions
- What is Blue Heron Neurofeedback and Counseling's NPI number?
- Blue Heron Neurofeedback and Counseling's National Provider Identifier (NPI) is 1669039178, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Blue Heron Neurofeedback and Counseling?
- Blue Heron Neurofeedback and Counseling is classified in the NPPES registry as Multi-Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Blue Heron Neurofeedback and Counseling located?
- Blue Heron Neurofeedback and Counseling's practice location on file with NPPES is 379 White Mountain Hwy, Conway, NH 03818-4206.
- What is Blue Heron Neurofeedback and Counseling's phone number?
- The practice phone number listed in the NPPES registry for Blue Heron Neurofeedback and Counseling is (603) 356-6400.
- Does Blue Heron Neurofeedback and Counseling accept Medicare?
- Blue Heron Neurofeedback and Counseling is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Blue Heron Neurofeedback and Counseling?
- The authorized official listed on Blue Heron Neurofeedback and Counseling's NPPES record is Stacie Leclerc, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Blue Heron Neurofeedback and Counseling's NPI active?
- Yes — Blue Heron Neurofeedback and Counseling's NPI (1669039178) is active in the NPPES registry as of the last update on 2025-11-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.