Stacy N Menziess, CASE MANAGER

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

555 W Redondo Beach Blvd
Suite 204
Gardena, CA 90248-1612

Phone

(310) 352-6422

Fax

(310) 352-6480

NPI assigned

Dec 10, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• California Institute of Health & Social Services, Inc.

  • Community/Behavioral Health Agency
  • Gardena, CA
  • NPI 1497888051
  NPD (past)

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

{
    "created_epoch": "1197244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197244800000",
    "number": "1023291382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 W REDONDO BEACH BLVD",
            "address_2": "SUITE 204",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902481612",
            "telephone_number": "310-352-6422",
            "fax_number": "310-352-6480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 W REDONDO BEACH BLVD",
            "address_2": "SUITE 204",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902481612",
            "telephone_number": "310-352-6422",
            "fax_number": "310-352-6480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENZIESS",
        "first_name": "STACY",
        "middle_name": "N",
        "name_prefix": "Ms.",
        "credential": "CASE MANAGER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-10",
        "last_updated": "2007-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Ashley Mendoza
• Sebastian Mendoza
• Mendrix Medical Associates Inc
• Bartolome Villasencio Mensis Jr.
• Tania Annette Menzies
• Janki Merai, BCBA
• Miguel Meraz
• George Mercado
• Tanya Monique Mercado
• Mercury Ambulance Services, LLC

• Mental Health Counselor in Gardena, CA
• Providers in Gardena, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.