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STEPHANIE J CLARK
NPI 1033621768
Marriage & Family Therapist in Lancaster, CA

Active since November 03, 2017PECOS Enrolled
921 W AVENUE J STE C, LANCASTER, CA 93534(661) 949-0131(661) 729-8912 Get Directions Write a Review

NPPES record last updated: September 29, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 29, 2020, Oct 24, 2018, Jan 10, 2018 and 1 more (4 updates tracked since 2017).

About Stephanie J Clark NPPES

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

STEPHANIE J CLARK (NPI 1033621768) is an individual marriage & family therapist in Lancaster, California, licensed in California (LMFT121955) and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Los Angeles.

NPPES Registry Identity

NPI1033621768
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameSTEPHANIE J CLARK
Location Address921 W AVENUE J STE CLancaster, CA 93534
Mailing Address921 W Avenue J Ste CLancaster, CA 93534-3443 · (661) 949-0131 · Fax (661) 729-8912
Phone(661) 949-0131
Fax(661) 729-8912
Sole ProprietorNo
Enumeration DateNovember 3, 2017
Last NPPES UpdateSeptember 29, 20204 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2020
✔ NPI 1033621768 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 · LMFT121955
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 ListedCounselor · Mental HealthTaxonomy 101YM0800X · License AMFT99619 (CA)
921 W AVENUE J STE C, Lancaster, CA 93534
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Secondary Practice Location 1

Location 18220 S San Pedro StLos Angeles, CA 90003-3030 · Phone (323) 570-0445 · Fax (323) 778-0485

Other Identifiers 1

Medicaid1508206838CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephanie J Clark 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.

Medicare Billing Reassignment

Medicare enrollment records show Stephanie Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Healing Solutions Family Therapy Center Inc.
1.2 mi
Mental Health (Including Community Mental Health Center)
815 W LANCASTER BLVD STE 115
Lancaster, CA 93534
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Real Road Inc
  • 26 clinicians in this Medicare group
NPI 1134688674 (661) 903-8822

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

SARA KANG
Marriage & Family Therapist
921 W AVENUE J STE C
LANCASTER, CA 93534
Los Angeles County (661) 949-0131
MOISES ANGULO
Student in an Organized Health Care Education/Training Program
921 W AVENUE J STE C
LANCASTER, CA 93534
Los Angeles County (661) 949-0131
LA SHELL DENICE RICKS
Marriage & Family Therapist
921 W AVENUE J STE C
LANCASTER, CA 93534
Los Angeles County (213) 706-3180
ALEXANDER OFUONYE
Rehabilitation Practitioner
921 W AVENUE J STE C
LANCASTER, CA 93534
Los Angeles County (213) 709-5053
JENNIFER HAMBRO LMFT
Marriage & Family Therapist
921 W AVENUE J STE C
LANCASTER, CA 93534
Los Angeles County (323) 652-1384
CAITLIN NEWCOMB GINWALA LMFT96759
Marriage & Family Therapist
921 W AVENUE J STE C
LANCASTER, CA 93534
Los Angeles County (661) 949-0131
KARLA VALERIA SALAZAR RENDON
Counselor (Mental Health)
921 W AVENUE J STE C
LANCASTER, CA 93534
Los Angeles County (213) 216-2189
VERONICA CRUZ
Student in an Organized Health Care Education/Training Program
921 W AVENUE J STE C
LANCASTER, CA 93534
Los Angeles County (213) 280-4888

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 Stephanie Clark's NPI number?

The NPI number for Stephanie Clark is 1033621768. It was assigned to this individual provider in the NPPES registry on November 3, 2017.

Where is Stephanie Clark located?

Stephanie Clark practices at 921 W Avenue J Ste C, Lancaster, CA 93534. The listed phone number is (661) 949-0131.

What is Stephanie Clark's specialty?

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

Is Stephanie Clark enrolled in Medicare?

Yes. Stephanie Clark is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Stephanie Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Clark reassigns Medicare benefits to Healing Solutions Family Therapy Center Inc. (Lancaster, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stephanie Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Stephanie Clark was last updated on September 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.