Individual provider Active NPI

Hopraya Shalon Stidom

  • Marriage & Family Therapist
  • Bakersfield, CA
National Provider Identifier
1376005041
Registry record updated Aug 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
135152 Issued in CA
Practice address
9711 Holland St Ste 1
Bakersfield, CA 93312-2773
Phone
(805) 561-8914
NPI assigned
Apr 2, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 135152 CA Primary
Mental Health Counselor 101YM0800X 12757 CA
Behavior Technician 106S00000X

Addresses

Primary practice location

9711 Holland St Ste 1
Bakersfield, CA 93312-2773

Mailing address

9711 Holland St Ste 1
Bakersfield, CA 93312-2773
Phone (661) 964-4245

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240123000862 CA Practitioner - Marriage and Family Therapist 9638521990 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12757CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
There'S Hope for US Kids Inc Current Accepting new patients
Patla & Associates Children and Family Therapy Inc Marriage & Family Therapist CurrentSince Apr 1, 2026 Accepting new patients
Grow Healthcare Group PC Mental Health CurrentSince May 31, 2024 Accepting new patients
Lumen Health and Psychological Services Inc. CurrentSince Jan 1, 2024 Accepting new patients

Locations

9711 Holland St
Ste 1
Bakersfield, CA 93312
Phone (805) 561-8914

8421 Auburn Blvd
Ste 110
Citrus Heights, CA 95610
Phone (800) 464-4709

4950 San Bernardino St
Ste 210
Montclair, CA 91763
Phone (909) 579-9501

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1554163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787443200000",
    "number": "1376005041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9711 HOLLAND ST STE 1",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933122773",
            "telephone_number": "661-964-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9711 HOLLAND ST STE 1",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933122773",
            "telephone_number": "805-561-8914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIDOM",
        "first_name": "HOPRAYA",
        "middle_name": "SHALON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-02",
        "last_updated": "2026-08-23",
        "certification_date": "2026-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "135152",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "12757",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.