IndividualActive
Stacy Ford
NPI 1053759605 · Mental Health Counselor · San Rafael, CA
Stacy Ford is a Mental Health Counselor provider in San Rafael, CA (NPI 1053759605).
Provider details
- NPI number
- 1053759605
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1 Saint Vincents Dr
San Rafael, CA 94903-1504
Phone: (415) 507-4262
Street-level locationGet directions
Mailing address
1 Saint Vincents Dr
San Rafael, CA 94903-1504
Registry dates
- Enumerated
- 2013-06-05
- Last updated
- 2013-06-05
Frequently asked questions
- What is Stacy Ford's NPI number?
- Stacy Ford's National Provider Identifier (NPI) is 1053759605, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Stacy Ford's specialty?
- Stacy Ford is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Stacy Ford located?
- Stacy Ford's practice location on file with NPPES is 1 Saint Vincents Dr, San Rafael, CA 94903-1504.
- What is Stacy Ford's phone number?
- The practice phone number listed in the NPPES registry for Stacy Ford is (415) 507-4262.
- Is Stacy Ford's NPI active?
- Yes — Stacy Ford's NPI (1053759605) is active in the NPPES registry as of the last update on 2013-06-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.