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ELISE A STARK LPC
NPI 1477036424
Counselor - Professional in Hartford, CT

Active since September 14, 2018PECOS EnrolledAccepts Medicare Assignment
1429 PARK STREET, RESET FLOOR ONE, HARTFORD, CT 06106(860) 685-1254(866) 285-7768 Get Directions Write a Review

NPPES record last updated: September 14, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Elise A Stark Lpc NPPES

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

ELISE A STARK LPC (NPI 1477036424) is an individual professional provider in Hartford, Connecticut, licensed in Connecticut (3517) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1477036424
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameELISE A STARKCredential: LPC
Location Address1429 PARK STREET, RESET FLOOR ONEHartford, CT 06106-0700
Mailing Address98 Campbell AveVernon, CT 06066-5404 · (860) 685-1254
Phone(860) 685-1254
Fax(866) 285-7768
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateSeptember 14, 2018
✔ NPI 1477036424 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 CT · 3517
1429 PARK STREET, Hartford, CT 06106
Open in Google Maps ↗

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Elise A Stark Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3870079023
PECOS Enrollment IDI20260108000037
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 Reassignments

2

Medicare enrollment records show Elise Stark reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mansfield Mental Health And Addiction Medicine
26 mi
Psychiatry
207 STORRS RD
Mansfield Center, CT 06250
  • Reassigned Medicare billing, Connecticut enrollment
  • 12 clinicians in this Medicare group
NPI 1366958480 (347) 872-3612
Step Up Care PC LLC
43 mi
Counselor
111 WESTCOTT RD
Danielson, CT 06239
  • Reassigned Medicare billing, Connecticut enrollment
  • 390 clinicians in this Medicare group
NPI 1154884740 (718) 298-4375

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

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 1477036424. It was assigned to this individual provider in the NPPES registry on September 14, 2018.

Where is Elise Stark located?

Elise Stark practices at 1429 Park Street Reset Floor One, Hartford, CT 06106. The listed phone number is (860) 685-1254.

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?

Yes. Elise Stark is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Elise Stark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elise Stark reassigns Medicare benefits to 2 organizations: Mansfield Mental Health And Addiction Medicine (Mansfield Center, CT) and Step Up Care PC LLC (Danielson, CT). Each 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 Elise Stark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elise Stark accept?

Health plans from Anthem Blue Cross and Blue Shield list Elise Stark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Elise Stark was last updated on September 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.