Individual provider Active NPI

Stacy J Marsh, AMFT

  • Mental Health Counselor
  • Newport Beach, CA
National Provider Identifier
1922791722
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
128117 Issued in CA
Practice address
13 Corporate Plaza Dr Ste 100
Newport Beach, CA 92660-7964
Phone
(858) 735-6213
NPI assigned
May 30, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 128117 CA Primary

Addresses

Primary practice location

13 Corporate Plaza Dr Ste 100
Newport Beach, CA 92660-7964

Mailing address

12 Via Diego
San Clemente, CA 92673-7042
Phone (949) 355-3066

Other practice location 1

1101 Dove St Ste 220
Newport Beach, CA 92660-2827
Phone (949) 992-3585

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
128117CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Minds Counseling Center CurrentSince Jun 4, 2023 Accepting new patients

Locations

13 Corporate Plaza Dr
Ste 100
Newport Beach, CA 92660
Phone (858) 735-6213

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1685404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1922791722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 VIA DIEGO",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926737042",
            "telephone_number": "949-355-3066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 CORPORATE PLAZA DR STE 100",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607964",
            "telephone_number": "858-735-6213"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 Dove St Ste 220",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926602827",
            "country_code": "US",
            "telephone_number": "949-992-3585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARSH",
        "first_name": "STACY",
        "middle_name": "J",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-30",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "128117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; 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.