Staci Davora Ross, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC 46679 Issued in CA

Practice address

1352 Oregon St
Redding, CA 96001-1621

Phone

(530) 917-0121

NPI assigned

Jan 30, 2007

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

Specialty

Marriage and Family Therapist

Education

National University of Arts and Sciences, Medical Department, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Laurie Lidie, LCSW

  • Clinical Social Worker
  • Redding, CA
  • NPI 1770177362
  NPD
• Remi Vista Inc.

  • Community/Behavioral Health Agency
  • Redding, CA
  • NPI 1194778803
  NPD (past)

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1447397641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16712 DOG CREEK RD",
            "city": "LAKEHEAD",
            "state": "CA",
            "postal_code": "960519501",
            "telephone_number": "530-917-0121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1352 OREGON ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960011621",
            "telephone_number": "530-917-0121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "STACI",
        "middle_name": "DAVORA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 46679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hillary Gabriella Ross
• Joseph Leonard Ross, CAS NAADAC
• Lisa Ann Ross, FNP
• Michelle Yevon Ross
• Nicole Ross
• Summer Lynn Ross, P.A.
• Tracie Lee Ross
• Scott R Rossow, RPH
• Heather Rostocil
• Heather M Rothermund

• Marriage & Family Therapist in Redding, CA
• Providers in Redding, 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 Nov 19, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.