ELISE MAE STARK MA, LPCC, CEDS-C
NPI 1003327735
Counselor - Professional in Los Angeles, CA
About Elise Mae Stark Ma, Lpcc, Ceds-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELISE MAE STARK MA, LPCC, CEDS-C (NPI 1003327735) is an individual professional provider in Los Angeles, California, licensed in California (LPCC4458) and active in the NPI registry since October 2017. She has opted out of Medicare through July 2, 2028.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Elise Mae Stark Ma, Lpcc, Ceds-c has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 2, 2026 through July 2, 2028.
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.
LOS ANGELES, CA 90025
LOS ANGELES, CA 90025
WEST LOS ANGELES, CA 90025
LOS ANGELES, CA 90025
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 Elise Stark's NPI number?
The NPI number for Elise Stark is 1003327735. It was assigned to this individual provider in the NPPES registry on October 20, 2017.
Where is Elise Stark located?
Elise Stark practices at 2001 S Barrington Ave, Los Angeles, CA 90025. The listed phone number is (323) 379-2147.
What is Elise Stark's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Elise Stark enrolled in Medicare?
No. Elise Stark has opted out of Medicare through July 2, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Elise Stark was last updated on July 25, 2024. 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.
# Elise Mae Stark, MA, LPCC, CEDS-C · NPI 1003327735
Professional provider in Los Angeles, California. Individual provider, active in the CMS NPPES registry since October 20, 2017.
## Identity
- **NPI:** 1003327735 (Entity type: Individual)
- **Enumerated:** October 20, 2017
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** LPCC4458 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 2001 S BARRINGTON AVE, Los Angeles, CA 90025-5363
- **Phone:** (323) 379-2147
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through July 2, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** July 25, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1003327735) · Data from the CMS NPPES public registry.