Stacy Menhennitt, MFT TRAINEE

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

145864 Issued in CA

Practice address

1722 S Lewis Rd
Camarillo, CA 93012-8520

Phone

(805) 928-8622

Fax

(805) 739-8863

NPI assigned

Mar 29, 2010

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

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

{
    "created_epoch": "1269820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1942525365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 S MILLER ST STE 106",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934551775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1722 S LEWIS RD",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930128520",
            "telephone_number": "805-928-8622",
            "fax_number": "805-739-8863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENHENNITT",
        "first_name": "STACY",
        "credential": "MFT TRAINEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-29",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "145864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dayanna Nicole Mendoza
• Julio Mendoza
• Kerry Francis Mendoza
• Paula Mendoza
• Yesika Anabel Menera
• Laurie B Menyuk, HA
• Deseri Rose Meraz
• Nancy Meraz
• Zachariah Mercado
• Ayoub Merhi, RPH

• Marriage & Family Therapist in Camarillo, CA
• Providers in Camarillo, 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 Mar 19, 2024; 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.