Individual provider Active NPI

Brooke N Stone, MFT

  • Marriage & Family Therapist
  • Grass Valley, CA
National Provider Identifier
1538599337
Registry record updated Apr 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
84054 Issued in CA
Practice address
944 McCourtney Rd Ste C
Grass Valley, CA 95949-7401
Phone
(530) 559-1500
Fax
(530) 231-2999
NPI assigned
Nov 15, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 84054 CA Primary

Addresses

Primary practice location

944 McCourtney Rd Ste C
Grass Valley, CA 95949-7401

Mailing address

944 McCourtney Rd Ste C
Grass Valley, CA 95949-7401
Phone (530) 559-1500

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
I20240208001961 CA Practitioner - Marriage and Family Therapist 5991148769 Practice locations: Grass Valley, CA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

944 McCourtney Rd
Suite C
Grass Valley, CA 95949-7401
Phone (530) 559-1500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
84054CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1384473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522800000000",
    "number": "1538599337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "944 MCCOURTNEY RD STE C",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959497401",
            "telephone_number": "530-559-1500",
            "fax_number": "530-231-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "944 MCCOURTNEY RD STE C",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959497401",
            "telephone_number": "530-559-1500",
            "fax_number": "530-231-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONE",
        "first_name": "BROOKE",
        "middle_name": "N",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-15",
        "last_updated": "2018-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "84054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grass Valley, CA

Sources for this page

Verify at the official NPI Registry.