Stacy Lynn Bahr, AMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

117644 Issued in CA

Practice address

1470 W Herndon Ave # 300
Fresno, CA 93711-0552

Phone

(559) 304-7785

NPI assigned

Oct 24, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1540339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1306313770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1470 W HERNDON AVE # 300",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937110552",
            "telephone_number": "559-304-7785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1470 W HERNDON AVE # 300",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937110552",
            "telephone_number": "559-304-7785"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1788 Celeste Ave",
            "address_purpose": "LOCATION",
            "city": "Clovis",
            "state": "CA",
            "postal_code": "936112069",
            "country_code": "US",
            "telephone_number": "559-304-7785",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3707 E Shields Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937267029",
            "country_code": "US",
            "telephone_number": "559-229-9040",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3138 W Barstow Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937112603",
            "country_code": "US",
            "telephone_number": "559-304-7785",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2291 N Hazel Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937225562",
            "country_code": "US",
            "telephone_number": "559-304-7785",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAHR",
        "first_name": "STACY",
        "middle_name": "LYNN",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-24",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "8738",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "117644",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yolanda Bahena, MSN, APRN, FNP-C
• Sameer Bahl, MD
• Emily Bahne
• Linda Weiss Bahnson, MFT
• Mikhail Bahr, MMSC, PA-C
• Ahmadreza Bahrami, MBA
• Shahram Bahrami, M.D.
• Regina Bahten, D.O.
• Griffin Benjamin Bailey Jr., PA-C
• Matasha Lafaye Bailey, AMFT

• Marriage & Family Therapist in Fresno, CA
• Providers in Fresno, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2022; 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.