Individual provider Active NPI

Stacy W. Mason, MFT

  • Marriage & Family Therapist
  • Bradenton, FL
National Provider Identifier
1396870796
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MT4834 Issued in FL
Practice address
513 Manatee Ave E
Bradenton, FL 34208-1145
Phone
(800) 457-4573
Fax
(800) 443-6422
NPI assigned
Feb 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMFT40366 CA
Marriage & Family Therapist 106H00000X MT4834 FL Primary

Addresses

Primary practice location

513 Manatee Ave E
Bradenton, FL 34208-1145

Mailing address

15544 W Colonial Dr
Winter Garden, FL 34787-9556
Phone (352) 504-0340

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20240918004048 FL Practitioner - Marriage and Family Therapist 5395286272 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Harmony United Florida, LLCGroup PAC ID 9638306673, 86 clinicians

Practice addresses (Care Compare)

513 Manatee Ave E
Harmony United Psychiatric Care
Bradenton, FL 34208-1145
Phone (800) 457-4573

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMFT40366CAMDMarriage & Family Therapist
MT4834FLMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Harmony United Florida, LLC CurrentSince Sep 16, 2024 Accepting new patients
Harmony United Pennsylvania PLLC PastSince Sep 15, 2024 Accepting new patients

Locations

513 Manatee Ave E
Bradenton, FL 34208
Phone (941) 745-1616

3235 SW 34th St
Ocala, FL 34474
Phone 3525059115 ext. 100

3231 Gulf Gate Dr
Ste 102
Sarasota, FL 34231
Phone (941) 685-8914

15544 W Colonial Dr
Winter Garden, FL 34787
Phone (352) 504-0340

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: stacy.mason@harmonyhealthcare.medentdirect.com

Organizations & group practices 3

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": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1396870796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15544 W COLONIAL DR",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347879556",
            "telephone_number": "352-504-0340",
            "fax_number": "800-443-6422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 MANATEE AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081145",
            "telephone_number": "800-457-4573",
            "fax_number": "800-443-6422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "STACY",
        "middle_name": "W.",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT40366",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT4834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.