CLARICE IRENE STOUT
NPI 1861956898
Marriage & Family Therapist in Fullerton, CA

Q: What is Clarice Stout's NPI number?

The NPI number for Clarice Stout is 1861956898. It was assigned to this individual provider in the NPPES registry on January 23, 2019.

Q: What is Clarice Stout'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 Clarice Stout was last updated on March 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 January 23, 2019PECOS Enrolled

2601 E CHAPMAN AVE STE 111, FULLERTON, CA 92831(949) 293-6249(888) 974-6532 Get Directions Write a Review

NPPES record last updated: March 13, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 13, 2019, Feb 16, 2019, Jan 23, 2019 (3 updates tracked since 2019).

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About Clarice Irene Stout NPPES

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

CLARICE IRENE STOUT (NPI 1861956898) is an individual marriage & family therapist in Fullerton, California, licensed in California (107743) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1861956898

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameCLARICE IRENE STOUT

Location Address2601 E CHAPMAN AVE STE 111Fullerton, CA 92831-3737

Mailing Address10614 Cordoba CtWhittier, CA 90601-2230 · (562) 968-4692

Phone(949) 293-6249

Fax(888) 974-6532

Sole ProprietorNo

Enumeration DateJanuary 23, 2019

Last NPPES UpdateMarch 13, 20193 updates tracked since enumeration

✔ NPI 1861956898 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 · 107743

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.

2601 E CHAPMAN AVE STE 111, Fullerton, CA 92831

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Secondary Practice Locations 2

Location 114408 Whittier Blvd Ste A7Whittier, CA 90605-2156 · Phone (626) 600-2068

Location 2531 E Chapman Ave Ste DOrange, CA 92866-1647 · Phone (714) 357-4724 · Fax (714) 703-9341

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Clarice Irene Stout is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 5

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

DR. ANGGA SMARADIKA RAHADYAN LMFT

Marriage & Family Therapist