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MARIAH STACY
NPI 1013371517
Counselor in San Diego, CA

Active since April 11, 2016
2535 KETTNER BLVD, SUITE 1A4, SAN DIEGO, CA 92101(619) 615-0701 Get Directions Write a Review

NPPES record last updated: April 11, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mariah Stacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARIAH STACY (NPI 1013371517) is an individual counselor in San Diego, California, licensed in California (F1937412) and active in the NPI registry since April 2016.

NPPES Registry Identity

NPI1013371517
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMARIAH STACY
Location Address2535 KETTNER BLVD, SUITE 1A4San Diego, CA 92101-1250
Mailing Address2535 Kettner Blvd, Suite 1a4San Diego, CA 92101-1250
Phone(619) 615-0701
Sole ProprietorNo
Enumeration DateApril 11, 2016
✔ NPI 1013371517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in CA · F1937412
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
2535 KETTNER BLVD, San Diego, CA 92101
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GINA BALLESTREOS
Counselor
2535 KETTNER BLVD, SUITE 1A4
SAN DIEGO, CA 92101
San Diego County (619) 615-0701
TAUFAGA ILAOA-TAUPAU
Counselor
2535 KETTNER BLVD, 1A4
SAN DIEGO, CA 92101
San Diego County (619) 615-0701
SYLVIA VIZCARRA
Counselor
2535 KETTNER BLVD, SUITE 1A4
SAN DIEGO, CA 92101
San Diego County (619) 615-0701
ESMERALDA ISABEL SANCHEZ QMHP
Counselor
2535 KETTNER BLVD
SAN DIEGO, CA 92101
San Diego County (619) 615-0701
DONNA JAMES
Behavior Technician
2535 KETTNER BLVD, SUITE 1A4
SAN DIEGO, CA 92101
San Diego County (619) 615-0701
CHERA TRIBBLE
Counselor
2535 KETTNER BLVD
SAN DIEGO, CA 92101
San Diego County (619) 612-0701
GISCARD BOULOU
Counselor
2535 KETTNER BLVD, SUITE 1A4
SAN DIEGO, CA 92101
San Diego County (619) 615-0701
KATIE ORNETT BSW
Counselor
2535 KETTNER BLVD
SAN DIEGO, CA 92101
San Diego County (619) 615-0701

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mariah Stacy's NPI number?

The NPI number for Mariah Stacy is 1013371517. It was assigned to this individual provider in the NPPES registry on April 11, 2016.

Where is Mariah Stacy located?

Mariah Stacy practices at 2535 Kettner Blvd Suite 1a4, San Diego, CA 92101. The listed phone number is (619) 615-0701.

What is Mariah Stacy's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Mariah Stacy was last updated on April 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.