MRS. STACY VARGAS VITALE M.S. MFTI
NPI 1316073133
Marriage & Family Therapist in Covina, CA

Q: What is Stacy Vitale's NPI number?

The NPI number for Stacy Vitale is 1316073133. It was assigned to this individual provider in the NPPES registry on February 26, 2007.

Q: What is Stacy Vitale'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 Vitale was last updated on July 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 February 26, 2007PECOS Enrolled

1126 N GRAND AVE, COVINA, CA 91724(626) 967-1667(626) 967-6027 Get Directions Write a Review

NPPES record last updated: July 12, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mrs. Stacy Vargas Vitale M.s. Mfti NPPES

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

MRS. STACY VARGAS VITALE M.S. MFTI (NPI 1316073133) is an individual marriage & family therapist in Covina, California, licensed in California (MFC49965) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1316073133

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMRS. STACY VARGAS VITALECredential: M.S. MFTI

Location Address1126 N GRAND AVECovina, CA 91724-1551

Mailing Address1307 N Stanley AveLos Angeles, CA 90046-4044 · (626) 831-2203 · Fax (626) 967-6027

Phone(626) 967-1667

Fax(626) 967-6027

Sole ProprietorYes

Medical School CMSOtherGraduated 2000

Enumeration DateFebruary 26, 2007

Last NPPES UpdateJuly 12, 2011

✔ NPI 1316073133 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 · MFC49965

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.

1126 N GRAND AVE, Covina, CA 91724

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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)

Mrs. Stacy Vargas Vitale M.s. Mfti is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5193226124

PECOS Enrollment IDI20250829003882

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.

ANNA ESQUIVEZ

Rehabilitation Practitioner