Stacey White Kinney, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC35122 Issued in CA

Practice address

26441 Crown Valley Pkwy
Suite 101
Mission Viejo, CA 92691-8528

Phone

(949) 209-0010

Fax

(949) 209-0010

NPI assigned

Nov 18, 2009

Sex

Female

Sole proprietor

Yes

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

Opted out of Medicare

Yes, effective Oct 11, 2024 through Oct 11, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1258502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437436800000",
    "number": "1902134661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 DOVE ST STE 110",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602845",
            "telephone_number": "949-209-0010",
            "fax_number": "949-209-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26441 CROWN VALLEY PKWY",
            "address_2": "SUITE 101",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926918528",
            "telephone_number": "949-209-0010",
            "fax_number": "949-209-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINNEY",
        "first_name": "STACEY",
        "middle_name": "WHITE",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-18",
        "last_updated": "2015-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC35122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Christopher Todd King
• Frank J King, MD
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• Scott Michael Kirchner, D.C.
• Georg Kiriak, D.D.S.
• Alex Jesse Kirkpatrick, PT, DPT
• Peggy Kirkwood, RN,NP

• Marriage & Family Therapist in Mission Viejo, CA
• Providers in Mission Viejo, 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 Jul 21, 2015; 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.