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STACY T TAMAYO IMFT
NPI 1669764429
Marriage & Family Therapist in Lancaster, CA

Active since May 11, 2011PECOS Enrolled
921 W AVENUE J STE C, LANCASTER, CA 93534(661) 949-0131(661) 729-8912 Get Directions Write a Review

NPPES record last updated: December 13, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Stacy T Tamayo Imft NPPES

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

STACY T TAMAYO IMFT (NPI 1669764429) is an individual marriage & family therapist in Lancaster, California, licensed in California (MFC53596) and active in the NPI registry since May 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669764429
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameSTACY T TAMAYOCredential: IMFT
Location Address921 W AVENUE J STE CLancaster, CA 93534-3443
Mailing Address921 W Avenue J Ste CLancaster, CA 93534-3443 · (661) 949-0131 · Fax (661) 729-8912
Phone(661) 949-0131
Fax(661) 729-8912
Sole ProprietorNo
Enumeration DateMay 11, 2011
Last NPPES UpdateDecember 13, 2021
NPPES CertifiedDecember 13, 2021
✔ NPI 1669764429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Licenses✔ Licensed in CA · MFC53596✔ Licensed in CA · 53596
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 62460 (CA)
921 W AVENUE J STE C, Lancaster, CA 93534
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacy T Tamayo Imft 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.

Medicare Billing Reassignment

Medicare enrollment records show Stacy Tamayo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
3.4 mi
Health Maintenance Organization
43112 N 15TH ST
Lancaster, CA 93534
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1982863783 (661) 726-2279

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.

SARA KANG
Marriage & Family Therapist
921 W AVENUE J STE C
LANCASTER, CA 93534
Los Angeles County (661) 949-0131
STEPHANIE J CLARK
Marriage & Family Therapist
921 W AVENUE J STE C
LANCASTER, CA 93534
Los Angeles County (661) 949-0131
MOISES ANGULO
Student in an Organized Health Care Education/Training Program
921 W AVENUE J STE C
LANCASTER, CA 93534
Los Angeles County (661) 949-0131
LA SHELL DENICE RICKS
Marriage & Family Therapist
921 W AVENUE J STE C
LANCASTER, CA 93534
Los Angeles County (213) 706-3180
ALEXANDER OFUONYE
Rehabilitation Practitioner
921 W AVENUE J STE C
LANCASTER, CA 93534
Los Angeles County (213) 709-5053
JENNIFER HAMBRO LMFT
Marriage & Family Therapist
921 W AVENUE J STE C
LANCASTER, CA 93534
Los Angeles County (323) 652-1384
CHERISE CALMESE
Rehabilitation Practitioner
921 W AVENUE J STE C
LANCASTER, CA 93534
Los Angeles County (323) 541-3142
CAITLIN NEWCOMB GINWALA LMFT96759
Marriage & Family Therapist
921 W AVENUE J STE C
LANCASTER, CA 93534
Los Angeles County (661) 949-0131

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 Tamayo's NPI number?

The NPI number for Stacy Tamayo is 1669764429. It was assigned to this individual provider in the NPPES registry on May 11, 2011.

Where is Stacy Tamayo located?

Stacy Tamayo practices at 921 W Avenue J Ste C, Lancaster, CA 93534. The listed phone number is (661) 949-0131.

What is Stacy Tamayo's specialty?

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

Is Stacy Tamayo enrolled in Medicare?

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

Which organization bills Medicare for Stacy Tamayo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacy Tamayo reassigns Medicare benefits to Southern California Permanente Medical Group (Lancaster, CA). 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 Stacy Tamayo'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 Stacy Tamayo was last updated on December 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.