Stacey L. Anderson Young, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

918 15TH St
Modesto, CA 95354-1115

Phone

(209) 727-2646

NPI assigned

Mar 27, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 7, 2025 through Apr 7, 2027

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.

• Catalyst Family Counseling Services, Inc

  • Marriage & Family Therapist
  • Modesto, CA
  • NPI 1518594894
  NPD

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618617600000",
    "number": "1851419592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 15TH ST",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953541115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "918 15TH ST",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953541115",
            "telephone_number": "209-727-2646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON YOUNG",
        "first_name": "STACEY",
        "middle_name": "L.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2021-04-17",
        "certification_date": "2021-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF BEHAVIORAL SCIENCES",
            "identifier": "51993",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathy R Anderegg, REGISTERED NURSE
• Andersen Physical Therapy, Inc
• Jonathan Lyle Andersen, PT
• Lyle Melvin Andersen, PT
• Sherilyn Ann Andersen, PT
• Kiley Marie Anderson-Thompson
• Robin Marie Anderson-Wood
• Alexis Anderson
• Brian J Anderson, D.C.
• Catherine Renee Anderson, FNP-C

• Marriage & Family Therapist in Modesto, CA
• Providers in Modesto, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.