STACEY MARIE KANE
NPI 1770146383
Counselor - Professional in San Diego, CA
About Stacey Marie Kane NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STACEY MARIE KANE (NPI 1770146383) is an individual professional provider in San Diego, California, licensed in California (LPCC15851) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Stacey Marie Kane is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
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.
SAN DIEGO, CA 92103
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 Kane's NPI number?
The NPI number for Stacey Kane is 1770146383. It was assigned to this individual provider in the NPPES registry on April 18, 2019.
Where is Stacey Kane located?
Stacey Kane practices at 4309 3rd Ave, San Diego, CA 92103. The listed phone number is (619) 876-4502.
What is Stacey Kane's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Stacey Kane enrolled in Medicare?
Yes. Stacey Kane is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Stacey Kane was last updated on June 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 55 days 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.
