Stacie F Jablon, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC36550 Issued in CA

Practice address

2909 Griffin Cir
Corona, CA 92879-6100

Phone

(951) 496-4633

NPI assigned

Aug 13, 2011

Last updated

Aug 13, 2011By the provider in NPPES

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

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Center for New Directions, Inc.

  • Mental Health Counselor
  • Laguna Hills, CA
  • NPI 1578121190
  Medicare reassignment NPD
• Stephen M Pumphrey Licensed Clinical Social Workers Inc

  • Clinical Social Worker
  • Laguna Hills, CA
  • NPI 1386862969
  NPD (past)

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

{
    "created_epoch": "1313193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313193600000",
    "number": "1376822999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2909 GRIFFIN CIR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928796100",
            "telephone_number": "951-496-4633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2909 GRIFFIN CIR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928796100",
            "telephone_number": "951-496-4633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JABLON",
        "first_name": "STACIE",
        "middle_name": "F",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-13",
        "last_updated": "2011-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC36550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Izumigawa
• J & R Healthy Living Inc. (JC Corona ADHC)
• J & R Pharmacy P C (JC Neighborhood Pharmacy)
• J Chun Dental Corp (Dental Kidz Club)
• J&J Testing Associates LLC (NMBD Care)
• Jack D Cochran
• Alexis Jackson
• Allyson Marie Jackson, R.D.
• Brittany Jackson
• Earl Jackson

• Marriage & Family Therapist in Corona, CA
• Providers in Corona, 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 Aug 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.