Active NPI
Stages Family Therapy and Wellness Center, Inc.
- Adult Mental Health Clinic/Center
- Camarillo, CA
National Provider Identifier
1639983208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- STAGES FAMILY THERAPY AND WELLNESS CENTER, INC.
- Practice address
- 1317 Del Norte Rd Ste 200
Camarillo, CA 93010-8368 - Phone
- (805) 415-2441
- NPI assigned
- Feb 4, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kerry Costello, MFT
- Title
- President
- Phone
- (805) 415-2441
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Adult Mental Health Clinic/Center | 261QM0850X | Primary |
Addresses
Primary practice location
1317 Del Norte Rd Ste 200
Camarillo, CA 93010-8368
Mailing address
44 Duvali Dr
Ventura, CA 93003-2151
Phone (805) 415-2441
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- Camarillo, CA
- NPI 1558552570
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738627200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773964800000",
"number": "1639983208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 DUVALI DR",
"city": "VENTURA",
"state": "CA",
"postal_code": "930032151",
"telephone_number": "805-415-2441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1317 DEL NORTE RD STE 200",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "930108368",
"telephone_number": "805-415-2441"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STAGES FAMILY THERAPY AND WELLNESS CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-04",
"last_updated": "2026-03-20",
"certification_date": "2026-03-20",
"status": "A",
"authorized_official_last_name": "COSTELLO",
"authorized_official_first_name": "KERRY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "805-415-2441",
"authorized_official_credential": "MFT"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Camarillo, CA
- St Peregrine Hospitium of Ventura Inc
- Diane St. Fleur, M.D.
- St. Mark & Arch Angel Michael Inc.
- St. Rita de Cascia Homehealth of Ventura Inc.
- St.John'S Pleasant Valley Hospital
- Jeanne Stallings, LMFT
- Stanley D. Jensen, D.C. a Chiropractic Corporation
- Tanya Stanley
- Heather Stantial
- Christopher Stanton
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.