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STACY JUDAH MFT
NPI 1639364318
Marriage & Family Therapist in Oroville, CA

Active since September 06, 2007PECOS Enrolled
82 TABLE MOUNTAIN BLVD, OROVILLE, CA 95965(530) 990-8880 Get Directions Write a Review

NPPES record last updated: October 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stacy Judah Mft NPPES

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

STACY JUDAH MFT (NPI 1639364318) is an individual marriage & family therapist in Oroville, California, licensed in California (48367) and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1639364318
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameSTACY JUDAHCredential: MFT
Location Address82 TABLE MOUNTAIN BLVDOroville, CA 95965-3578
Mailing Address5909 Debbie LnParadise, CA 95969-4236 · (530) 990-8880
Phone(530) 990-8880
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 6, 2007
Last NPPES UpdateOctober 30, 2025
NPPES CertifiedOctober 30, 2025
✔ NPI 1639364318 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 · 48367
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.
82 TABLE MOUNTAIN BLVD, Oroville, CA 95965
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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)

Stacy Judah Mft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4284116518
PECOS Enrollment IDI20260305000731
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.

ALBERT CASTILLO
Community Health Worker
82 TABLE MOUNTAIN BLVD
OROVILLE, CA 95965
Butte County (530) 538-7705
COUNTY OF BUTTE
Clinic/Center (Adult Mental Health)
82 TABLE MOUNTAIN BLVD
OROVILLE, CA 95965
Butte County (530) 538-7705
CARLA JEANNE VELADOR RN/PHN
Preventive Medicine (Public Health & General Preventive Medicine)
82 TABLE MOUNTAIN BLVD, SUITE 20
OROVILLE, CA 95965
Butte County (530) 538-2890
LOGAN KONGPENG LEE
Student in an Organized Health Care Education/Training Program
82 TABLE MOUNTAIN BLVD
OROVILLE, CA 95965
Butte County (916) 738-0889
SARA MAE BUNDY ACSW
Counselor (Mental Health)
82 TABLE MOUNTAIN BLVD
OROVILLE, CA 95965
Butte County (530) 552-4698
SHER YANG
Counselor (Mental Health)
82 TABLE MOUNTAIN BLVD
OROVILLE, CA 95965
Butte County (530) 538-7705
RICARDO GONZALEZ
Social Worker (Clinical)
82 TABLE MOUNTAIN BLVD
OROVILLE, CA 95965
Butte County (530) 394-1272
MR. MARCUS STEVEN WILSON
Registered Nurse
82 TABLE MOUNTAIN BLVD
OROVILLE, CA 95965
Butte County (530) 538-7705

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 Stacy Judah's NPI number?

The NPI number for Stacy Judah is 1639364318. It was assigned to this individual provider in the NPPES registry on September 6, 2007.

Where is Stacy Judah located?

Stacy Judah practices at 82 Table Mountain Blvd, Oroville, CA 95965. The listed phone number is (530) 990-8880.

What is Stacy Judah's specialty?

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

Is Stacy Judah enrolled in Medicare?

Yes. Stacy Judah is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stacy Judah was last updated on October 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.