Brandi Dee Stahr

Individual provider Active NPI Marriage & Family Therapist · Georgetown, CA

NPI 1285220707 · NPPES record last updated Jan 7, 2026

Key facts

NPI
1285220707
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
130613 (CA)
Practice address
PO Box 1073
Georgetown, CA 95634-1073
Phone
(530) 845-8238
NPI assigned
Dec 18, 2020
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20241212004211 CA Practitioner - Marriage and Family Therapist 4284160292 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
130613CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Shingle Springs Rancheria Current
since Jun 20, 2024
Accepting new patients
Anchor Therapy Clinic Past
since Nov 10, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 130613 CA Yes

Addresses

Primary practice location

PO Box 1073
Georgetown, CA 95634-1073

Mailing address

PO Box 1073
Georgetown, CA 95634-1073

Other providers in Georgetown, CA

All providers in Georgetown, CA · Marriage & Family Therapist in California

Sources for this page

Verify at the official NPI Registry.