Individual provider Active NPI

Stacy Judah, MFT

  • Marriage & Family Therapist
  • Oroville, CA
National Provider Identifier
1639364318
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
48367 Issued in CA
Practice address
82 Table Mountain Blvd
Oroville, CA 95965-3578
Phone
(530) 990-8880
NPI assigned
Sep 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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 48367 CA Primary

Addresses

Primary practice location

82 Table Mountain Blvd
Oroville, CA 95965-3578

Mailing address

5909 Debbie LN
Paradise, CA 95969-4236
Phone (530) 990-8880

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
I20260305000731 CA Practitioner - Marriage and Family Therapist 4284116518 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3217 Cohasset Rd
Chico, CA 95973-5404

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
48367CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
County of Butte CurrentSince Jan 5, 2026 Accepting new patients
County of Butte CurrentSince Jan 5, 2026 Accepting new patients

Locations

82 Table Mountain Blvd
Oroville, CA 95965
Phone (530) 538-7705

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": "1189036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1639364318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5909 DEBBIE LN",
            "city": "PARADISE",
            "state": "CA",
            "postal_code": "959694236",
            "telephone_number": "530-990-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 TABLE MOUNTAIN BLVD",
            "city": "OROVILLE",
            "state": "CA",
            "postal_code": "959653578",
            "telephone_number": "530-990-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUDAH",
        "first_name": "STACY",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-06",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "48367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oroville, CA

Sources for this page

Verify at the official NPI Registry.