Individual provider Active NPI

Mary Ruth Stanley

  • Marriage & Family Therapist
  • Riverside, CA
National Provider Identifier
1598052912
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MCF 48280 Issued in CA
Practice address
5053 La Mart Dr Ste 207
Riverside, CA 92507-5990
Phone
(951) 468-8255
NPI assigned
Jul 6, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2026

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 MCF 48280 CA Primary

Addresses

Primary practice location

5053 La Mart Dr Ste 207
Riverside, CA 92507-5990

Mailing address

5053 La Mart Dr Ste 207
Riverside, CA 92507-5990
Phone (951) 468-8255

Other names 1

  • Mary Penrod Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MCF 48280CAMDMarriage & Family Therapist
48280CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Ruth - Counseling and Coaching for Marriages and Individuals Inc. Marriage & Family Therapist Current Accepting new patients

Locations

5053 La Mart Dr
Ste 207
Riverside, CA 92507
Phone (951) 344-6428

Organizations & group practices 1

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": "1309910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770336000000",
    "number": "1598052912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5053 LA MART DR STE 207",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925075990",
            "telephone_number": "951-468-8255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5053 LA MART DR STE 207",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925075990",
            "telephone_number": "951-468-8255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "MARY",
        "middle_name": "RUTH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-06",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MCF 48280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "PENROD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.