JANAE MILEY STARK
NPI 1073292298
Counselor - Mental Health in Anaheim, CA

Q: What is Janae Stark's NPI number?

The NPI number for Janae Stark is 1073292298. It was assigned to this individual provider in the NPPES registry on July 14, 2023.

Q: What is Janae Stark's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: Is Janae Stark enrolled in Medicare?

No. Janae Stark has opted out of Medicare through June 25, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Janae Stark was last updated on July 14, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 14, 2023Opted out of Medicare · through Jun 25, 2027

421 N BROOKHURST ST STE 119, ANAHEIM, CA 92801(714) 361-0898(714) 276-2604 Get Directions Write a Review

NPPES record last updated: July 14, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Janae Miley Stark NPPES

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

JANAE MILEY STARK (NPI 1073292298) is an individual mental health provider in Anaheim, California and active in the NPI registry since July 2023. She has opted out of Medicare through June 25, 2027.

NPPES Registry Identity

NPI1073292298

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameJANAE MILEY STARK

Location Address421 N BROOKHURST ST STE 119Anaheim, CA 92801-5618

Mailing Address421 N Brookhurst St Ste 119Anaheim, CA 92801-5618 · (714) 361-0898 · Fax (714) 276-2604

Phone(714) 361-0898

Fax(714) 276-2604

Sole ProprietorYes

Enumeration DateJuly 14, 2023

NPPES CertifiedJuly 13, 2023

✔ NPI 1073292298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

421 N BROOKHURST ST STE 119, Anaheim, CA 92801

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Janae Miley Stark 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 June 25, 2025 through June 25, 2027.

Opt-Out Effective DateJune 25, 2025

Opt-Out In Effect ThroughJune 25, 2027Opt-out affidavits renew automatically every two years unless cancelled

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Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DAVE RAVI M.D.

Psychiatry & Neurology (Psychiatry)