Stacy Eatmon

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

25650 Issued in CA

Practice address

10293 Bloomfield St
Los Alamitos, CA 90720-2264

Phone

(562) 799-4700

NPI assigned

Aug 5, 2025

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Los Alamitos Unified School District

  • Local Education Agency (LEA)
  • Los Alamitos, CA
  • NPI 1073880902
  NPD (past)

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

{
    "created_epoch": "1754352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1821972308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10293 BLOOMFIELD ST",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907202264",
            "telephone_number": "562-799-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10293 BLOOMFIELD ST",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907202264",
            "telephone_number": "562-799-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EATMON",
        "first_name": "STACY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-05",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "25650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzette Ann Dunn, LE
• Kathy Duynguyen-Ly
• Hadas Dvir, L.AC
• Aspen Dyer, ASW
• Leslie Jean Dykstra-Ordanes, P.T.
• Medya Ebrahim
• Beverly L Eckhardt, PTA, CLT
• Kayleigh Eden
• Edrich Chiropractic
• Stewart Jeffrey Edrich, D.C.

• Mental Health Counselor in Los Alamitos, CA
• Providers in Los Alamitos, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.