STACY DEVER LEVY LMFT
NPI 1104422856
Marriage & Family Therapist in Los Gatos, CA

Active since December 08, 2020Opted out of Medicare · through Feb 12, 2028
15814 WINCHESTER BLVD STE 102, LOS GATOS, CA 95030(408) 982-6709 Get Directions Write a Review

NPPES record last updated: July 14, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 14, 2021, Dec 8, 2020 (2 updates tracked since 2020).

About Stacy Dever Levy Lmft NPPES

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

STACY DEVER LEVY LMFT (NPI 1104422856) is an individual marriage & family therapist in Los Gatos, California, licensed in California (123354) and active in the NPI registry since December 2020. She has opted out of Medicare through February 12, 2028.

NPPES Registry Identity

NPI1104422856
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameSTACY DEVER LEVYCredential: LMFT
Location Address15814 WINCHESTER BLVD STE 102Los Gatos, CA 95030-3333
Mailing AddressPo Box 10644San Jose, CA 95157-1644 · (408) 982-6709
Sole ProprietorYes
Enumeration DateDecember 8, 2020
Last NPPES UpdateJuly 14, 20212 updates tracked since enumeration
NPPES CertifiedJuly 14, 2021
NPI 1104422856 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 · 123354
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.
15814 WINCHESTER BLVD STE 102, Los Gatos, CA 95030

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Stacy Dever Levy Lmft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 12, 2024 through February 12, 2028.

Opt-Out Effective DateFebruary 12, 2024
Opt-Out In Effect ThroughFebruary 12, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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.

Marriage & Family Therapist
15814 WINCHESTER BLVD STE 102
LOS GATOS, CA 95030
Counselor (Mental Health)
15814 WINCHESTER BLVD STE 102
LOS GATOS, CA 95030

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 Dever Levy's NPI number?

The NPI number for Stacy Dever Levy is 1104422856. It was assigned to this individual provider in the NPPES registry on December 8, 2020.

Where is Stacy Dever Levy located?

Stacy Dever Levy practices at 15814 Winchester Blvd Ste 102, Los Gatos, CA 95030. The listed phone number is (408) 982-6709.

What is Stacy Dever Levy's specialty?

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

Is Stacy Dever Levy enrolled in Medicare?

No. Stacy Dever Levy has opted out of Medicare through February 12, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Stacy Dever Levy was last updated on July 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.