STACEY L. ANDERSON (NPI# 1851419592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851419592 |
| Entity Type | Individual |
| Full Name | STACEY L. ANDERSON |
| Credential | LMFT |
| Practice Address |
2000 W Briggsmore Ave Ste I Modesto CA 95350-3839 |
| Practice Telephone | 2095261440 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2019-01-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| N | 390200000X | Student in an Organized Health Care Education/Training Program | CA | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BOARD OF BEHAVIORAL SCIENCES | 51993 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508080615 | Stacey Francis Anderson | Dental Hygienist | 2454 Highway 2, Two Harbors, MN 55616-3000 | 2007-04-12 |
| 1336274968 | Stacey A. Anderson | Psychologist | 11311 S Stephanie Dr, Yuma, AZ 85367-5862 | 2007-02-22 |
| 1770637142 | Stacey Chatman Anderson | Social Worker | 2020 E 7th Street, Charlotte, NC 28213 | 2007-01-23 |
| 1265935530 | Stacey Anderson | Counselor | 617 Veterans Blvd Ste 107, Redwood City, CA 94063-1404 | 2018-03-13 |
| 1831637529 | Stacey Anderson | Nurse Practitioner | 16088 San Pedro Ave, Suite 115, San Antonio, TX 78232-2251 | 2017-02-02 |
| 1780061309 | Stacey Anderson | Social Worker | 6633 Stony Creek Rd, Ypsilanti, MI 48197-6609 | 2015-05-04 |
| 1013300896 | Stacey M Anderson | Nurse Practitioner | 107 S Broadway St, Carlisle, KY 40311-1150 | 2015-03-18 |
| 1447566294 | Stacey N Anderson | Case Manager/Care Coordinator | 110 S C St Ste A, Lompoc, CA 93436-7340 | 2010-08-30 |
| 1659685253 | Stacey L. Anderson | Nurse Practitioner | 41 Mall Rd, Lahey Hospital and Medical Center, Burlington, MA 01805-0001 | 2010-08-06 |
| 1427127042 | Stacey M. Anderson | Internal Medicine | Lee St, Charlottesville, VA 22908-0001 | 2006-11-07 |
| Street Address |
2000 W BRIGGSMORE AVE STE I |
| City | MODESTO |
| State | CA |
| Zip Code | 95350-3839 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992842728 | Kimberly Davis | Counselor | 2000 W Briggsmore Ave Ste I, Modesto, CA 95350-3839 | 2007-01-31 |
| 1750991378 | Daniel Silva Costa | Counselor | 2000 W Briggsmore Ave Ste I, Modesto, CA 95350-3839 | 2020-08-07 |
| 1538794029 | Victoria Gonzalez | Counselor | 2000 W Briggsmore Ave Ste I, Modesto, CA 95350-3839 | 2020-03-05 |
| 1114567419 | Hanat Nambi Balimuttajjo | Counselor | 2000 W Briggsmore Ave Ste I, Modesto, CA 95350-3839 | 2020-01-14 |
| 1184261547 | Briana Rios | Student in an Organized Health Care Education/Training Program | 2000 W Briggsmore Ave Ste I, Modesto, CA 95350-3839 | 2019-12-04 |
| 1801433263 | Ivander Miguel Gonzalez | Student in an Organized Health Care Education/Training Program | 2000 W Briggsmore Ave Ste I, Modesto, CA 95350-3839 | 2019-12-04 |
| 1295381309 | Elizabeth A Alvarez | Student in an Organized Health Care Education/Training Program | 2000 W Briggsmore Ave Ste I, Modesto, CA 95350-3839 | 2019-08-14 |
| 1093361313 | Nancy Reyes | Student in an Organized Health Care Education/Training Program | 2000 W Briggsmore Ave Ste I, Modesto, CA 95350-3839 | 2019-08-13 |
| 1962054718 | Amber Leann Rice | Counselor | 2000 W Briggsmore Ave Ste I, Modesto, CA 95350-3839 | 2019-07-11 |
| 1194387670 | Sarah Hunt | Counselor | 2000 W Briggsmore Ave Ste I, Modesto, CA 95350-3839 | 2019-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020459 | Karina Montes Rodriguez | Case Manager/Care Coordinator | Cip 1540 Florida Ave, Suite 212, Modesto, CA 95350 | 2020-10-09 |
| 1134737315 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 2057 Tully Road, Suite A, Modesto, CA 95350 | 2020-07-14 |
| 1588211254 | Karla Junuen Toscano | Licensed Vocational Nurse | 1235 Mchenry Ave. Suites A&b, Modesto, CA 95350 | 2019-08-19 |
| 1831694769 | Loretta Myers-weber | Nurse Practitioner | 1510 Florida Ave Ste A, Modesto, CA 95350 | 2018-03-23 |
| 1720599632 | Coral Alejandra Amador | Counselor | 1700 Mchenry Village Way, Suite 11b, Modesto, CA 95350 | 2017-10-18 |
| 1053820522 | Pannu and Henne Dental Corp. | Dentist | 3219 Mc Henry Ave, Suite E, Modesto, CA 95350 | 2017-09-27 |
| 1346779709 | Kevin Sotelo | Behavior Technician | 2630 W Rumble Road, Modesto, CA 95350 | 2017-06-08 |
| 1255869566 | Hoa Xuan Phan | Family Medicine | 1441 Florida Ave Ste 200, Modesto, CA 95350 | 2017-05-31 |
| 1356881163 | Brady S Marshall | Dentist | 201 E. Orangeburg Avenue, Suite C, Modesto, CA 95350 | 2017-02-27 |
| 1750755476 | Caremore Health Plan | Nurse Practitioner | 1234 Mchenry Avenue, Modesto, CA 95350 | 2015-11-18 |
| Find all providers in zip 95350 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891303731 | Youth for Christ Central Valley | Marriage & Family Therapist | 1101 M St, Modesto, CA 95354-0755 | 2020-07-16 |
| 1336629229 | Matina Trigo | Marriage & Family Therapist | 420 Downey Ave, Modesto, CA 95354-1301 | 2018-08-20 |
| 1629558903 | Central Valley Therapeutic Alliance, Inc. | Marriage & Family Therapist | 201 E Orangeburg Ave Ste F, Modesto, CA 95350-5355 | 2018-08-16 |
| 1659888543 | Dr. Irit Goldman Psy.d Lmft | Marriage & Family Therapist | 1604 Ford Ave Ste 1, Modesto, CA 95350-4649 | 2018-01-02 |
| 1013461748 | Pamela Christine Remides | Marriage & Family Therapist | 615 14th St, Modesto, CA 95354-2504 | 2016-08-10 |
| 1073964805 | Dwight Simpson Sr. | Marriage & Family Therapist | 1705 Ardmore Ave, Modesto, CA 95350-4100 | 2016-06-22 |
| 1811373640 | Melissa Ruiz | Marriage & Family Therapist | 5815 Stoddard Rd Suite 600, Modesto, CA 95356 | 2015-08-04 |
| 1750620902 | Jacquelyn Irene Mitchell | Marriage & Family Therapist | 3049 Darlene Ln, Modesto, CA 95355-4157 | 2013-02-07 |
| 1891046512 | Brittany Elizabeth Rushin | Marriage & Family Therapist | 1015 12th St Ste 11, Modesto, CA 95354-0838 | 2012-09-20 |
| 1467715979 | Angela Jean Kelley | Marriage & Family Therapist | 1809 Lobero Ln, Modesto, CA 95355-2521 | 2012-06-19 |
| Find all providers in MODESTO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.