STACEY KATHLEEN BOTTOMS AMFT
NPI 1972156362
Marriage & Family Therapist in Dixon, CA

Q: What is Stacey Bottoms's NPI number?

The NPI number for Stacey Bottoms is 1972156362. It was assigned to this individual provider in the NPPES registry on July 24, 2019.

Q: What is Stacey Bottoms'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 Bottoms was last updated on January 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since July 24, 2019PECOS Enrolled

1455 ROOSEVELT ST, DIXON, CA 95620(707) 344-0699 Get Directions Write a Review

NPPES record last updated: January 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 15, 2026, Jan 30, 2023, Jan 9, 2023 and 5 more (8 updates tracked since 2019).

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About Stacey Kathleen Bottoms Amft NPPES

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

STACEY KATHLEEN BOTTOMS AMFT (NPI 1972156362) is an individual marriage & family therapist in Dixon, California, licensed in California (155264) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1972156362

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameSTACEY KATHLEEN BOTTOMSCredential: AMFT

Location Address1455 ROOSEVELT STDixon, CA 95620-4907

Mailing Address1455 Roosevelt StDixon, CA 95620-4907 · (707) 344-0699

Phone(707) 344-0699

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateJuly 24, 2019

Last NPPES UpdateJanuary 15, 20268 updates tracked since enumeration

NPPES CertifiedJanuary 15, 2026

✔ NPI 1972156362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 155264

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.

1455 ROOSEVELT ST, Dixon, CA 95620

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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)

Stacey Kathleen Bottoms Amft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID143709451

PECOS Enrollment IDI20260206003294

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.

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 Bottoms's NPI number?

The NPI number for Stacey Bottoms is 1972156362. It was assigned to this individual provider in the NPPES registry on July 24, 2019.

Where is Stacey Bottoms located?

Stacey Bottoms practices at 1455 Roosevelt St, Dixon, CA 95620. The listed phone number is (707) 344-0699.

What is Stacey Bottoms's specialty?

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

Is Stacey Bottoms enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Stacey Bottoms was last updated on January 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.