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: July 19, 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
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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

Counselor
7080 N MARKS AVE STE 104
FRESNO, CA 93711
Exclusive Provider Organization
7080 N MARKS AVE STE 104
FRESNO, CA 93711
Counselor
7080 N MARKS AVE STE 104
FRESNO, CA 93711
Counselor
7080 N MARKS AVE STE 104
FRESNO, CA 93711
Counselor (Mental Health)
7080 N MARKS AVE STE 104
FRESNO, CA 93711
Counselor (Mental Health)
7080 N MARKS AVE STE 104
FRESNO, CA 93711
Counselor (Mental Health)
7080 N MARKS AVE STE 104
FRESNO, CA 93711
Counselor (Mental Health)
7080 N MARKS AVE STE 104
FRESNO, CA 93711

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922290733, enumerated as an "individual" on August 15, 2007.

The provider is located at 7080 N MARKS AVE STE 104 FRESNO, CA 93711 and the phone number is (559) 248-8550.

Marriage & Family Therapist with taxonomy code 106H00000X.