STACEY HARLAN MFT
NPI 1578743233
Marriage & Family Therapist in Susanville, CA
About Stacey Harlan Mft NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STACEY HARLAN MFT (NPI 1578743233) is an individual marriage & family therapist in Susanville, California, licensed in California (32664) and active in the NPI registry since November 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1992).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Stacey Harlan Mft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Stacey Harlan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Henderson, NV 89074
- Reassigned Medicare billing, Nevada enrollment
- 11 clinicians in this Medicare group
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.
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 Harlan's NPI number?
The NPI number for Stacey Harlan is 1578743233. It was assigned to this individual provider in the NPPES registry on November 11, 2007.
Where is Stacey Harlan located?
Stacey Harlan practices at 555 Hospital Ln, Susanville, CA 96130. The listed phone number is (530) 251-8108.
What is Stacey Harlan's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Stacey Harlan enrolled in Medicare?
Yes. Stacey Harlan is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Stacey Harlan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stacey Harlan reassigns Medicare benefits to Thriveworks Clinical - Nevada (Henderson, NV). 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 Stacey Harlan'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 Stacey Harlan was last updated on June 30, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Stacey Harlan, MFT · NPI 1578743233
Marriage & Family Therapist provider in Susanville, California. Individual provider, active in the CMS NPPES registry since November 11, 2007.
## Identity
- **NPI:** 1578743233 (Entity type: Individual)
- **Enumerated:** November 11, 2007
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** 32664 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 555 HOSPITAL LN, Susanville, CA 96130-4918
- **Phone:** (530) 251-8108
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Thriveworks Clinical - Nevada (NPI 1992462097, Henderson, NV), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1992
## Record status
- **NPPES last updated:** June 30, 2010
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Source: [NPI Profile](https://npiprofile.com/npi/1578743233) · Data from the CMS NPPES public registry.