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STACY KNOX AMFT120724
NPI 1104212257
Marriage & Family Therapist in Bakersfield, CA

Active since April 15, 2015PECOS Enrolled
4301 DE ETTE AVE, BAKERSFIELD, CA 93313(661) 827-9219(661) 827-9221 Get Directions Write a Review

NPPES record last updated: June 2, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 2, 2026, May 5, 2021, Nov 30, 2020 (3 updates tracked since 2020).

About Stacy Knox Amft120724 NPPES

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

STACY KNOX AMFT120724 (NPI 1104212257) is an individual marriage & family therapist in Bakersfield, California, licensed in California (154787) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Bakersfield, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1104212257
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameSTACY KNOXCredential: AMFT120724
Location Address4301 DE ETTE AVEBakersfield, CA 93313-2916
Mailing Address1321 Stine RdBakersfield, CA 93309-4176 · (661) 396-2360 · Fax (661) 396-2362
Phone(661) 827-9219
Fax(661) 827-9221
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateApril 15, 2015
Last NPPES UpdateJune 2, 20263 updates tracked since enumeration
NPPES CertifiedJune 2, 2026
✔ NPI 1104212257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 154787
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.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 6306-R (CA)
4301 DE ETTE AVE, Bakersfield, CA 93313
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Secondary Practice Location 1

Location 11010 1/2 S Union AveBakersfield, CA 93307-3642 · Phone (661) 321-0234 ext. 2901

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 Knox Amft120724 is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3274004510
PECOS Enrollment IDI20260608001064
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.

Other Providers at the Same Location NPPES 2

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

MR. JOHN BACON LCSW
Social Worker (Clinical)
4301 DE ETTE AVE
BAKERSFIELD, CA 93313
Kern County (661) 619-7047
KERN BRIDGES YOUTH HOMES, INC.
Residential Treatment Facility, Emotionally Disturbed Children
4301 DE ETTE AVE
BAKERSFIELD, CA 93313
Kern County (661) 827-9219

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 Knox's NPI number?

The NPI number for Stacy Knox is 1104212257. It was assigned to this individual provider in the NPPES registry on April 15, 2015.

Where is Stacy Knox located?

Stacy Knox practices at 4301 De Ette Ave, Bakersfield, CA 93313. The listed phone number is (661) 827-9219.

What is Stacy Knox's specialty?

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

Is Stacy Knox enrolled in Medicare?

Yes. Stacy Knox is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stacy Knox was last updated on June 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.