STACY ERIN CLARK SMALL MFT
NPI 1083881742
Marriage & Family Therapist in Sacramento, CA

Q: What is Stacy Small's NPI number?

The NPI number for Stacy Small is 1083881742. It was assigned to this individual provider in the NPPES registry on May 13, 2008.

Q: What is Stacy Small's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Stacy Small was last updated on January 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since May 13, 2008PECOS Enrolled

6600 BRUCEVILLE RD, SACRAMENTO, CA 95823(279) 200-2802(877) 738-4262 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Stacy Erin Clark Small Mft NPPES

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

STACY ERIN CLARK SMALL MFT (NPI 1083881742) is an individual marriage & family therapist in Sacramento, California, licensed in California (50473) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083881742

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameSTACY ERIN CLARK SMALLCredential: MFT

Location Address6600 BRUCEVILLE RDSacramento, CA 95823-4671

Mailing Address5240 Jackson StNorth Highlands, CA 95660-5003 · (916) 338-1001 · Fax (916) 338-1001

Phone(279) 200-2802

Fax(877) 738-4262

Sole ProprietorNo

Enumeration DateMay 13, 2008

Last NPPES UpdateJanuary 3, 2022

NPPES CertifiedApril 27, 2020

✔ NPI 1083881742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 50473

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

6600 BRUCEVILLE RD, Sacramento, CA 95823

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacy Erin Clark Small Mft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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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.

SHANNON KENTERA CRNA

Nurse Anesthetist, Certified Registered