Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Stacey Marie Kane

Individual provider Counselor · NPI 1770146383

Stacey Marie Kane is a Mental Health Counselor in San Diego, California. Qualified in 2021, 5 years ago. Practices with Sierra Family Therapy Centers, Inc, an 11-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

4309 3rd Ave
San Diego, CA 92103-1407
Phone: (619) 876-4502
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LPCC15851 (CA)
Counselor Taxonomy 101Y00000X

Record details

NPI number1770146383
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 18, 2019
Last updated in NPPESJune 11, 2026
Certification dateJune 11, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Sierra Family Therapy Centers, Inc. — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in San Diego