Amanda Kay Stadelbacher

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

22683 Issued in CA

Practice address

3608 Steve McQueen Dr
Chino Hills, CA 91709-5455

Phone

(909) 740-3138

Fax

(909) 306-5427

NPI assigned

Dec 28, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Boys Republic

  • Mental Illness Community Based Residential Treatment Facility
  • Chino Hills, CA
  • NPI 1700577137
  NPD

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

{
    "created_epoch": "1703721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1831968031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1907 BOYS REPUBLIC DR",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917095447",
            "telephone_number": "909-628-1217",
            "fax_number": "909-306-5427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3608 STEVE MCQUEEN DR",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917095455",
            "telephone_number": "909-740-3138",
            "fax_number": "909-306-5427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STADELBACHER",
        "first_name": "AMANDA",
        "middle_name": "KAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-28",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "22683",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "22683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southern California Injury Treatment Center MGT
• Southern California Permanente Medical Group
• Elisangela Souza, FNP
• Kathleen A Spencer, P.T.
• Spring Hope Hospice, Inc.
• Wayne Eugene Stemmler
• Stephanie Pelayo, Psy D & Company a Psychological Corp.
• Steven DBD Inc
• Kathryn Elizabeth Stevens
• Lisa C Stockford, DO

• Professional Counselor in Chino Hills, CA
• Providers in Chino Hills, CA by specialty
• Professional Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; 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.