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STACY FORD
NPI 1053759605
Counselor - Mental Health in San Rafael, CA

Active since June 05, 2013
1 SAINT VINCENTS DR, SAN RAFAEL, CA 94903(415) 507-4262 Get Directions Write a Review

NPPES record last updated: June 5, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stacy Ford NPPES

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

STACY FORD (NPI 1053759605) is an individual mental health provider in San Rafael, California and active in the NPI registry since June 2013.

NPPES Registry Identity

NPI1053759605
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSTACY FORD
Location Address1 SAINT VINCENTS DRSan Rafael, CA 94903-1504
Mailing Address1 Saint Vincents DrSan Rafael, CA 94903-1504 · (415) 507-4262
Phone(415) 507-4262
Sole ProprietorYes
Enumeration DateJune 5, 2013
✔ NPI 1053759605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1 SAINT VINCENTS DR, San Rafael, CA 94903
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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.

MARTINA BAKEBURA BAKILANA
Marriage & Family Therapist
1 SAINT VINCENTS DR
SAN RAFAEL, CA 94903
Marin County (415) 507-2000
MS. WENDY ALAIN CALOMIRIS MFTI
Marriage & Family Therapist
1 SAINT VINCENTS DR
SAN RAFAEL, CA 94903
Marin County (415) 507-4212
CORDELLERO DASHUN LEE
Counselor (Mental Health)
1 SAINT VINCENTS DR
SAN RAFAEL, CA 94903
Marin County (415) 507-2000
JENNIFER SIMMONS
Counselor
1 SAINT VINCENTS DR
SAN RAFAEL, CA 94903
Marin County (415) 507-2000
MS. ANNE B DOLAN
Marriage & Family Therapist
1 SAINT VINCENTS DR
SAN RAFAEL, CA 94903
Marin County (415) 507-4248
MRS. REBECCA LIN YOPS
Marriage & Family Therapist
1 SAINT VINCENTS DR
SAN RAFAEL, CA 94903
Marin County (415) 507-4259
PAYTON ELIZABETH TONTZ MA, MFT
Marriage & Family Therapist
1 SAINT VINCENTS DR
SAN RAFAEL, CA 94903
Marin County (415) 507-2000
MS. LAURIE ELIZABETH BUNTAIN MFT
Marriage & Family Therapist
1 SAINT VINCENTS DR
SAN RAFAEL, CA 94903
Marin County (415) 507-4244

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 Stacy Ford's NPI number?

The NPI number for Stacy Ford is 1053759605. It was assigned to this individual provider in the NPPES registry on June 5, 2013.

Where is Stacy Ford located?

Stacy Ford practices at 1 Saint Vincents Dr, San Rafael, CA 94903. The listed phone number is (415) 507-4262.

What is Stacy Ford's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Stacy Ford was last updated on June 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.