Stacey Harlan, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

32664 Issued in CA

Practice address

555 Hospital LN
Susanville, CA 96130-4918

Phone

(530) 251-8108

NPI assigned

Nov 11, 2007

Sex

Male

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 NV

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

Other, 1992

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Thriveworks Clinical - Nevada

  dba Thriveworks

  • Mental Health Counselor
  • Henderson, NV
  • NPI 1992462097
  Medicare reassignment
• Bee Mindful Mental Health and Wellness Center, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Sparks, NV
  • NPI 1023896651
  NPD (past)

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

{
    "created_epoch": "1194739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277856000000",
    "number": "1578743233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 HOSPITAL LN",
            "city": "SUSANVILLE",
            "state": "CA",
            "postal_code": "961304918",
            "telephone_number": "530-251-8108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 HOSPITAL LN",
            "city": "SUSANVILLE",
            "state": "CA",
            "postal_code": "961304918",
            "telephone_number": "530-251-8108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARLAN",
        "first_name": "STACEY",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-11",
        "last_updated": "2010-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "32664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Anne Grosso
• Kelly Marie Hall
• Ronda Kay Hall, MS,CCHW
• Floyd D Hansen, D.D.S.
• Danielle Hardy
• Heidi Harris
• Peter C Harris
• Christine Lorentzen Harrison, RN
• Anita Mae Harsh Jr.
• Sariah Hathaway

• Marriage & Family Therapist in Susanville, CA
• Providers in Susanville, 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 Jun 30, 2010; 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.