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, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Stacey Kane reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Grass Valley, CA 95945
- Reassigned Medicare billing, California enrollment
- 27 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.
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.
Which organization bills Medicare for Stacey Kane's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stacey Kane reassigns Medicare benefits to Sierra Family Therapy Centers, Inc. (Grass Valley, 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 Stacey Kane'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 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 4 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.
# Stacey Marie Kane · NPI 1770146383
Professional provider in San Diego, California. Individual provider, active in the CMS NPPES registry since April 18, 2019.
## Identity
- **NPI:** 1770146383 (Entity type: Individual)
- **Enumerated:** April 18, 2019
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** LPCC15851 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 4309 3RD AVE, San Diego, CA 92103-1407
- **Phone:** (619) 876-4502
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Sierra Family Therapy Centers, Inc. (NPI 1336648385, Grass Valley, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** June 11, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1770146383) · Data from the CMS NPPES public registry.