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BREANNA STANLEY
NPI 1306290267
Marriage & Family Therapist in San Bernardino, CA

Active since April 18, 2016PECOS EnrolledAccepts Medicare Assignment
900 E GILBERT ST, SAN BERNARDINO, CA 92415(909) 386-0786 Get Directions Write a Review

NPPES record last updated: September 29, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 29, 2020, Feb 7, 2019 (2 updates tracked since 2019).

About Breanna Stanley NPPES

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

BREANNA STANLEY (NPI 1306290267) is an individual marriage & family therapist in San Bernardino, California, licensed in California (121267) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1306290267
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameBREANNA STANLEY
Location Address900 E GILBERT STSan Bernardino, CA 92415-3542
Mailing Address900 E Gilbert StSan Bernardino, CA 92415-0911 · (909) 386-0786
Phone(909) 386-0786
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 18, 2016
Last NPPES UpdateSeptember 29, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2020
✔ NPI 1306290267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Licenses✔ Licensed in CA · 121267✔ Licensed in CA · IMF89509
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.
900 E GILBERT ST, San Bernardino, CA 92415
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Breanna Stanley is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4789026394
PECOS Enrollment IDI20240529000599
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.

Medicare Billing Reassignment

Medicare enrollment records show Breanna Stanley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
10 mi
Health Maintenance Organization
9961 SIERRA AVE
Fontana, CA 92335
  • Reassigned Medicare billing, California enrollment
  • 5,228 clinicians in this Medicare group
NPI 1689606196 (909) 427-3910

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

NICOLE LEONA SALLEE LPC LPCC
Counselor (Professional)
900 E GILBERT ST
SAN BERNARDINO, CA 92415
San Bernardino County (909) 387-7406
MS. ARASELI HERNANDEZ
Community Health Worker
900 E GILBERT ST
SAN BERNARDINO, CA 92415
San Bernardino County (909) 387-7406
MRS. ALEXA JOY PEREZ LCSW
Social Worker (Clinical)
900 E GILBERT ST
SAN BERNARDINO, CA 92415
San Bernardino County (909) 386-0785
SAN BERNARDINO COUNTY DEPARTMENT OF BEHAVIORAL HEALTH
Community/Behavioral Health
900 E GILBERT ST
SAN BERNARDINO, CA 92415
San Bernardino County (909) 387-7793
MS. ASTRID GANDARA
Marriage & Family Therapist
900 E GILBERT ST
SAN BERNARDINO, CA 92415
San Bernardino County (909) 387-7118
BRIGETTE THERESA BORJON
Marriage & Family Therapist
900 E GILBERT ST
SAN BERNARDINO, CA 92415
San Bernardino County (909) 386-0764
MS. SARAH ELISABETH HAYES MSW, LCSW
Social Worker (Clinical)
900 E GILBERT ST, COTTAGE 4
SAN BERNARDINO, CA 92415
San Bernardino County (909) 387-7000
MRS. DIANE A TERRONES
Social Worker
900 E GILBERT ST, COTTAGE #4
SAN BERNARDINO, CA 92415
San Bernardino County (909) 387-7003

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 Breanna Stanley's NPI number?

The NPI number for Breanna Stanley is 1306290267. It was assigned to this individual provider in the NPPES registry on April 18, 2016.

Where is Breanna Stanley located?

Breanna Stanley practices at 900 E Gilbert St, San Bernardino, CA 92415. The listed phone number is (909) 386-0786.

What is Breanna Stanley's specialty?

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

Is Breanna Stanley enrolled in Medicare?

Yes. Breanna Stanley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Breanna Stanley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Breanna Stanley reassigns Medicare benefits to Southern California Permanente Medical Group (Fontana, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Breanna Stanley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Breanna Stanley was last updated on September 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.