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MS. STACEY JO MACKAMAN LMFT
NPI 1437801230
Marriage & Family Therapist in Redondo Beach, CA

Active since January 23, 2022PECOS Enrolled
225 AVENUE I STE 204, REDONDO BEACH, CA 90277(424) 903-6520(424) 772-6993 Get Directions Write a Review

NPPES record last updated: June 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 6, 2024, Jan 23, 2022 (2 updates tracked since 2022).

About Ms. Stacey Jo Mackaman Lmft NPPES

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

MS. STACEY JO MACKAMAN LMFT (NPI 1437801230) is an individual marriage & family therapist in Redondo Beach, California, licensed in California (146799) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1437801230
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMS. STACEY JO MACKAMANCredential: LMFT
Location Address225 AVENUE I STE 204Redondo Beach, CA 90277-5608
Mailing Address170 Ardmore AveHermosa Beach, CA 90254-5229 · (312) 758-2428
Phone(424) 903-6520
Fax(424) 772-6993
Sole ProprietorNo
Enumeration DateJanuary 23, 2022
Last NPPES UpdateJune 6, 20242 updates tracked since enumeration
NPPES CertifiedJune 6, 2024
✔ NPI 1437801230 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 · 146799
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.
225 AVENUE I STE 204, Redondo Beach, CA 90277
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Other Names 1

Former Name (1)Ms. Stacey Jo Montgomery

Secondary Practice Locations 2

Location 1170 Ardmore AveHermosa Beach, CA 90254-5229 · Phone (312) 758-2428
Location 21230 Rosecrans Ave Ste 300Manhattan Beach, CA 90266-2494 · Phone (424) 903-6520 · Fax (424) 772-6993

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Stacey Jo Mackaman Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 3

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

DR. CRYSTAL LAYNE QUARRY PSY.D.
Psychologist (Clinical)
225 AVENUE I STE 204
REDONDO BEACH, CA 90277
Los Angeles County (424) 903-6520
Q PSYCHOLOGY GROUP, A PSYCHOLOGICAL CORPORATION
Psychologist (Clinical)
225 AVENUE I STE 204
REDONDO BEACH, CA 90277
Los Angeles County (424) 903-6520
MIA JANG AMFT, APCC
Counselor (Mental Health)
225 AVENUE I STE 204
REDONDO BEACH, CA 90277
Los Angeles County (424) 903-6520

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 Mackaman's NPI number?

The NPI number for Stacey Mackaman is 1437801230. It was assigned to this individual provider in the NPPES registry on January 23, 2022. The provider is also known as Ms. Stacey Jo Montgomery.

Where is Stacey Mackaman located?

Stacey Mackaman practices at 225 Avenue I Ste 204, Redondo Beach, CA 90277. The listed phone number is (424) 903-6520.

What is Stacey Mackaman's specialty?

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

Is Stacey Mackaman enrolled in Medicare?

Yes. Stacey Mackaman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stacey Mackaman was last updated on June 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.