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MS. HEATHER MARIE DUBBERT CLARK MA, LMFT
NPI 1336728757
Marriage & Family Therapist in Redondo Beach, CA

Active since April 04, 2021Opted out of Medicare · through Jan 1, 2028
732 S CATALINA AVE, REDONDO BEACH, CA 90277(310) 877-0775 Get Directions Write a Review

NPPES record last updated: April 4, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Heather Marie Dubbert Clark Ma, Lmft NPPES

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

MS. HEATHER MARIE DUBBERT CLARK MA, LMFT (NPI 1336728757) is an individual marriage & family therapist in Redondo Beach, California, licensed in California (125235) and active in the NPI registry since April 2021. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1336728757
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMS. HEATHER MARIE DUBBERT CLARKCredential: MA, LMFT
Location Address732 S CATALINA AVERedondo Beach, CA 90277-4611
Mailing Address220 Avenue IRedondo Beach, CA 90277-5617 · (310) 316-1884
Phone(310) 877-0775
Sole ProprietorYes
Enumeration DateApril 4, 2021
NPPES CertifiedMarch 18, 2021
✔ NPI 1336728757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 125235
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.
732 S CATALINA AVE, Redondo Beach, CA 90277
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ms. Heather Marie Dubbert Clark Ma, Lmft 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 January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Heather Clark's NPI number?

The NPI number for Heather Clark is 1336728757. It was assigned to this individual provider in the NPPES registry on April 4, 2021.

Where is Heather Clark located?

Heather Clark practices at 732 S Catalina Ave, Redondo Beach, CA 90277. The listed phone number is (310) 877-0775.

What is Heather Clark's specialty?

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

Is Heather Clark enrolled in Medicare?

No. Heather Clark has opted out of Medicare through January 1, 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 Heather Clark was last updated on April 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.