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

Q: 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.

Q: What is Stacey Cervantes's specialty?

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

Q: 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 2 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.

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: August 16, 2026.

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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, 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.

MS. SHANITA LINETTE TENNISON IMFT

Counselor (Mental Health)