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KATHERINE ELIZABETH CLARK MFT
NPI 1982936837
Marriage & Family Therapist in Solana Beach, CA

Active since February 03, 2010Opted out of Medicare · through Jan 18, 2028
125 N ACACIA AVE, SUITE 106, SOLANA BEACH, CA 92075(858) 822-9046(858) 792-3884 Get Directions Write a Review

NPPES record last updated: February 3, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Katherine Elizabeth Clark Mft NPPES

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

KATHERINE ELIZABETH CLARK MFT (NPI 1982936837) is an individual marriage & family therapist in Solana Beach, California, licensed in California (MFC47115) and active in the NPI registry since February 2010. She has opted out of Medicare through January 18, 2028.

NPPES Registry Identity

NPI1982936837
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameKATHERINE ELIZABETH CLARKCredential: MFT
Location Address125 N ACACIA AVE, SUITE 106Solana Beach, CA 92075-1165
Mailing Address125 N Acacia Ave, Suite 106Solana Beach, CA 92075-1165 · (858) 822-9046 · Fax (858) 792-3884
Phone(858) 822-9046
Fax(858) 792-3884
Sole ProprietorYes
Enumeration DateFebruary 3, 2010
✔ NPI 1982936837 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 · MFC47115
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.
125 N ACACIA AVE, Solana Beach, CA 92075
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Katherine Elizabeth Clark Mft 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 18, 2024 through January 18, 2028.

Opt-Out Effective DateJanuary 18, 2024
Opt-Out In Effect ThroughJanuary 18, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 6

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

DR. GLENN BARRY FRIEDER DC
Chiropractor
125 N ACACIA AVE, #111
SOLANA BEACH, CA 92075
San Diego County (858) 794-0300
DR. MYK DUANE BRAY D.C.
Chiropractor
125 N ACACIA AVE, 103
SOLANA BEACH, CA 92075
San Diego County (858) 794-0300
HEAR SAN DIEGO INC
Audiologist-Hearing Aid Fitter
125 N ACACIA AVE, STE 110
SOLANA BEACH, CA 92075
San Diego County (619) 475-7338
INTEGRATIVE WELLNESS MEDICAL GROUP
Family Medicine
125 N ACACIA AVE, SUITE 111
SOLANA BEACH, CA 92075
San Diego County (858) 444-0111
MRS. KRISTINA HALMAI GILLAN LMFT
Marriage & Family Therapist
125 N ACACIA AVE, SUITE 109
SOLANA BEACH, CA 92075
San Diego County (760) 846-4366
GLENN FRIEDER CHIROPRACTIC CORPORATION
Chiropractor
125 N ACACIA AVE, #111
SOLANA BEACH, CA 92075
San Diego County (858) 794-0300

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 Katherine Clark's NPI number?

The NPI number for Katherine Clark is 1982936837. It was assigned to this individual provider in the NPPES registry on February 3, 2010.

Where is Katherine Clark located?

Katherine Clark practices at 125 N Acacia Ave Suite 106, Solana Beach, CA 92075. The listed phone number is (858) 822-9046.

What is Katherine Clark's specialty?

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

Is Katherine Clark enrolled in Medicare?

No. Katherine Clark has opted out of Medicare through January 18, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Katherine Clark accept?

Health plans from Providence Health Plan list Katherine Clark 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 Katherine Clark was last updated on February 3, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.