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MISS STACEY ANN CAVANAUGH CERVANTES
NPI 1922290733
Marriage & Family Therapist in Fresno, CA

Active since August 15, 2007PECOS Enrolled
7080 N MARKS AVE STE 104, FRESNO, CA 93711(559) 248-8550 Get Directions Write a Review

NPPES record last updated: October 12, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Miss Stacey Ann Cavanaugh Cervantes NPPES

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

MISS STACEY ANN CAVANAUGH CERVANTES (NPI 1922290733) is an individual marriage & family therapist in Fresno, California, licensed in California (98638) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922290733
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMISS STACEY ANN CAVANAUGH CERVANTES
Location Address7080 N MARKS AVE STE 104Fresno, CA 93711-0288
Mailing Address7080 N. Marks Street, Suite 104Fresno, CA 93711
Phone(559) 248-8550
Sole ProprietorNo
Enumeration DateAugust 15, 2007
Last NPPES UpdateOctober 12, 2023
NPPES CertifiedOctober 12, 2023
✔ NPI 1922290733 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
License✔ Licensed in CA · 98638
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 ListedCounselorTaxonomy 101Y00000X
7080 N MARKS AVE STE 104, Fresno, CA 93711
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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)

Miss Stacey Ann Cavanaugh Cervantes 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 Stacey Cervantes reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Vitalize Behavioral Health And Psychometrics Inc.
3.8 mi
Adult Mental Health
7265 N 1ST ST STE 103
Fresno, CA 93720
  • Reassigned Medicare billing, California enrollment
  • 10 clinicians in this Medicare group
NPI 1386246197 (559) 492-1560

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.

MS. SHANITA LINETTE TENNISON IMFT
Counselor (Mental Health)
7080 N MARKS AVE STE 104
FRESNO, CA 93711
Fresno County (559) 248-8550
MR. LEONARD LEE MCCORMICK III
Counselor (Mental Health)
7080 N MARKS AVE STE 104
FRESNO, CA 93711
Fresno County (559) 248-8550
HECTOR HERNANDEZ
Counselor
7080 N MARKS AVE STE 104
FRESNO, CA 93711
Fresno County (559) 248-8550
MRS. CHRISTIE MARIE MORA
Counselor (Mental Health)
7080 N MARKS AVE STE 104
FRESNO, CA 93711
Fresno County (559) 341-0794
FAMILIES FIRST
Exclusive Provider Organization
7080 N MARKS AVE STE 104
FRESNO, CA 93711
Fresno County (559) 907-4275
CHRISTIE L REES
Counselor (Mental Health)
7080 N MARKS AVE STE 104
FRESNO, CA 93711
Fresno County (559) 248-8550
YUMI JESSICA LITKE
Technician, Other
7080 N MARKS AVE STE 104
FRESNO, CA 93711
Fresno County (559) 446-1515
LILLIA CERVANTES
Counselor (Mental Health)
7080 N MARKS AVE STE 104
FRESNO, CA 93711
Fresno County (559) 417-4036

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 Cervantes's NPI number?

The NPI number for Stacey Cervantes is 1922290733. It was assigned to this individual provider in the NPPES registry on August 15, 2007.

Where is Stacey Cervantes located?

Stacey Cervantes practices at 7080 N Marks Ave Ste 104, Fresno, CA 93711. The listed phone number is (559) 248-8550.

What is Stacey Cervantes's specialty?

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

Is Stacey Cervantes enrolled in Medicare?

Yes. Stacey Cervantes is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Stacey Cervantes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacey Cervantes reassigns Medicare benefits to Vitalize Behavioral Health And Psychometrics Inc. (Fresno, 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 Cervantes'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 Cervantes was last updated on October 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.