STACEY BURK LMFT
NPI 1669998761
Marriage & Family Therapist in Redding, 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 January 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since August 21, 2017PECOS Enrolled

415 KNOLLCREST DR STE 101, REDDING, CA 96002(530) 392-4399 Get Directions Write a Review

NPPES record last updated: January 11, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 11, 2023, Jun 20, 2019, Mar 17, 2018 and 2 more (5 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 Redding, California, licensed in California (90933) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1669998761

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameSTACEY BURKCredential: LMFT

Location Address415 KNOLLCREST DR STE 101Redding, CA 96002-0181

Mailing Address415 Knollcrest Dr Ste 101Redding, CA 96002-0181

Phone(530) 392-4399

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateAugust 21, 2017

Last NPPES UpdateJanuary 11, 20235 updates tracked since enumeration

NPPES CertifiedJanuary 11, 2023

✔ 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.

415 KNOLLCREST DR STE 101, Redding, CA 96002

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Medicare Participation & PECOS CMS

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

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.

Other Providers at the Same Location NPPES 20

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

VANESSA LINDO PA-C

Physician Assistant