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

Q: 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.

Q: What is Breanna Stanley'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 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 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.

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: August 02, 2026.

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

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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, and ordering and referring status from the CMS PECOS system.

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.

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)