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STACEY SIMMONS MA, PHD
NPI 1407359326
Marriage & Family Therapist in Burbank, CA

Active since March 16, 2018Opted out of Medicare · through Jan 12, 2028
2211 W MAGNOLIA BLVD # 145, BURBANK, CA 91506(310) 853-3638 Get Directions Write a Review

NPPES record last updated: December 9, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 9, 2018, Mar 16, 2018 (2 updates tracked since 2018).

About Stacey Simmons Ma, Phd NPPES

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

STACEY SIMMONS MA, PHD (NPI 1407359326) is an individual marriage & family therapist in Burbank, California, licensed in California (110847) and active in the NPI registry since March 2018. She has opted out of Medicare through January 12, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1407359326
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameSTACEY SIMMONSCredential: MA, PHD
Location Address2211 W MAGNOLIA BLVD # 145Burbank, CA 91506-1753
Mailing Address33300 Eastern AveSanta Clarita, CA 91390-2704 · (225) 302-0641
Phone(310) 853-3638
Sole ProprietorNo
Enumeration DateMarch 16, 2018
Last NPPES UpdateDecember 9, 20182 updates tracked since enumeration
✔ NPI 1407359326 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 · 110847
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.
2211 W MAGNOLIA BLVD # 145, Burbank, CA 91506
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Other Identifiers 1

Medicaid1407359326CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Stacey Simmons Ma, Phd 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 January 12, 2024 through January 12, 2028.

Opt-Out Effective DateJanuary 12, 2024
Opt-Out In Effect ThroughJanuary 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

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

M. DAOOD, M.D. INC
Specialist
2211 W MAGNOLIA BLVD # 145
BURBANK, CA 91506
Los Angeles County (818) 846-2900

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 Stacey Simmons's NPI number?

The NPI number for Stacey Simmons is 1407359326. It was assigned to this individual provider in the NPPES registry on March 16, 2018.

Where is Stacey Simmons located?

Stacey Simmons practices at 2211 W Magnolia Blvd # 145, Burbank, CA 91506. The listed phone number is (310) 853-3638.

What is Stacey Simmons's specialty?

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

Is Stacey Simmons enrolled in Medicare?

No. Stacey Simmons has opted out of Medicare through January 12, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Stacey Simmons was last updated on December 9, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.