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CRYSTAL CLARK MS
NPI 1568051225
Marriage & Family Therapist in North Hollywood, CA

Active since January 15, 2021Opted out of Medicare · through Jan 23, 2028
5308 RIVERTON AVE APT 7, NORTH HOLLYWOOD, CA 91601(818) 538-4225 Get Directions Write a Review

NPPES record last updated: December 22, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Dec 22, 2024, Feb 8, 2023, Jan 16, 2022 and 2 more (5 updates tracked since 2021).

About Crystal Clark Ms NPPES

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

CRYSTAL CLARK MS (NPI 1568051225) is an individual marriage & family therapist in North Hollywood, California, licensed in California (137600) and active in the NPI registry since January 2021. She has opted out of Medicare through January 23, 2028.

NPPES Registry Identity

NPI1568051225
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameCRYSTAL CLARKCredential: MS
Location Address5308 RIVERTON AVE APT 7North Hollywood, CA 91601-3325
Mailing Address16530 Ventura Blvd Ste 400Encino, CA 91436-4551 · (818) 538-4225
Phone(818) 538-4225
Sole ProprietorNo
Enumeration DateJanuary 15, 2021
Last NPPES UpdateDecember 22, 20245 updates tracked since enumeration
NPPES CertifiedDecember 22, 2024
✔ NPI 1568051225 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 · 137600
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.
5308 RIVERTON AVE APT 7, North Hollywood, CA 91601
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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

Crystal Clark Ms 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 23, 2026 through January 23, 2028.

Opt-Out Effective DateJanuary 23, 2026
Opt-Out In Effect ThroughJanuary 23, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

PRIORITY: LOVE. A MARRIAGE AND FAMILY THERAPY CORPORATION
Marriage & Family Therapist
5308 RIVERTON AVE APT 7
NORTH HOLLYWOOD, CA 91601
Los Angeles County (910) 551-2166

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 Crystal Clark's NPI number?

The NPI number for Crystal Clark is 1568051225. It was assigned to this individual provider in the NPPES registry on January 15, 2021.

Where is Crystal Clark located?

Crystal Clark practices at 5308 Riverton Ave Apt 7, North Hollywood, CA 91601. The listed phone number is (818) 538-4225.

What is Crystal Clark's specialty?

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

Is Crystal Clark enrolled in Medicare?

No. Crystal Clark has opted out of Medicare through January 23, 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 Crystal Clark was last updated on December 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.