MRS. STEPHENIE JO ILAGAN BCBA
NPI 1457581407
Counselor - Professional in San Clemente, CA

Active since July 23, 2009Opted out of Medicare · through Jun 25, 2028
302 N EL CAMINO REAL STE 202, SAN CLEMENTE, CA 92672(949) 292-2852 Get Directions Write a Review

NPPES record last updated: May 21, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Mrs. Stephenie Jo Ilagan Bcba NPPES

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

MRS. STEPHENIE JO ILAGAN BCBA (NPI 1457581407) is an individual professional provider in San Clemente, California, licensed in California (15530) and active in the NPI registry since July 2009. She has opted out of Medicare through June 25, 2028.

NPPES Registry Identity

NPI1457581407
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. STEPHENIE JO ILAGANCredential: BCBA
Location Address302 N EL CAMINO REAL STE 202San Clemente, CA 92672-4778
Mailing Address302 N El Camino Real Ste 202San Clemente, CA 92672-4778 · (949) 292-2852
Sole ProprietorNo
Enumeration DateJuly 23, 2009
Last NPPES UpdateMay 21, 2026
NPPES CertifiedMay 21, 2026
NPI 1457581407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in CA · 15530
302 N EL CAMINO REAL STE 202, San Clemente, CA 92672

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Mrs. Stephenie Jo Ilagan Bcba 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, 2026 through June 25, 2028.

Opt-Out Effective DateJune 25, 2026
Opt-Out In Effect ThroughJune 25, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 3

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

Marriage & Family Therapist
302 N EL CAMINO REAL STE 202
SAN CLEMENTE, CA 92672
Clinic/Center (Mental Health (Including Community Mental Health Center))
302 N EL CAMINO REAL STE 202
SAN CLEMENTE, CA 92672
Marriage & Family Therapist
302 N EL CAMINO REAL STE 202
SAN CLEMENTE, CA 92672

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 Stephenie Ilagan's NPI number?

The NPI number for Stephenie Ilagan is 1457581407. It was assigned to this individual provider in the NPPES registry on July 23, 2009.

Where is Stephenie Ilagan located?

Stephenie Ilagan practices at 302 N El Camino Real Ste 202, San Clemente, CA 92672. The listed phone number is (949) 292-2852.

What is Stephenie Ilagan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Stephenie Ilagan enrolled in Medicare?

No. Stephenie Ilagan has opted out of Medicare through June 25, 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 Stephenie Ilagan was last updated on May 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.