STACEY BURK LMFT
NPI 1669998761
Marriage & Family Therapist in National City, CA

Q: What is Stacey Burk's NPI number?

The NPI number for Stacey Burk is 1669998761. It was assigned to this individual provider in the NPPES registry on August 21, 2017.

Q: What is Stacey Burk's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Stacey Burk was last updated on September 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since August 21, 2017PECOS Enrolled

2743 HIGHLAND AVE, NATIONAL CITY, CA 91950(844) 200-2426(619) 474-4008 Get Directions Write a Review

NPPES record last updated: September 2, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 2, 2026, Jan 11, 2023, Jun 20, 2019 and 3 more (6 updates tracked since 2017).

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About Stacey Burk Lmft NPPES

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

STACEY BURK LMFT (NPI 1669998761) is an individual marriage & family therapist in National City, California, licensed in California (90933) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Diego, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1669998761

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameSTACEY BURKCredential: LMFT

Location Address2743 HIGHLAND AVENational City, CA 91950-7410

Mailing Address637 3rd AveChula Vista, CA 91910-5707 · (844) 200-2426 · Fax (619) 356-2726

Phone(844) 200-2426

Fax(619) 474-4008

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateAugust 21, 2017

Last NPPES UpdateSeptember 2, 20266 updates tracked since enumeration

NPPES CertifiedSeptember 2, 2026

✔ NPI 1669998761 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 · 90933

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.

2743 HIGHLAND AVE, National City, CA 91950

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Secondary Practice Location 1

Location 110737 Camino RuizSan Diego, CA 92126-2359 · Phone (844) 200-2426 · Fax (619) 474-4008

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacey Burk Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5991170573

PECOS Enrollment IDI20260210000737

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 Reassignment

Medicare enrollment records show Stacey Burk reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Operation Samahan, Inc.

Same address

Federally Qualified Health Center (FQHC)

2743 HIGHLAND AVE.
National City, CA 91950

Reassigned Medicare billing, California enrollment
41 clinicians in this Medicare group

NPI 1801907449 (844) 200-2426

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

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.

MR. MIGUEL LORENZO DUQUE

Counselor (Mental Health)