Individual provider Active NPI

Florence Elisabeth Stueck, AMFT

  • Mental Health Counselor
  • Sherman Oaks, CA
National Provider Identifier
1376187070
Registry record updated Nov 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
116047 Issued in CA
Practice address
14930 Ventura Blvd Ste 230
Sherman Oaks, CA 91403-3487
Phone
(626) 415-8287
NPI assigned
Nov 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 116047 CA Primary

Addresses

Primary practice location

14930 Ventura Blvd Ste 230
Sherman Oaks, CA 91403-3487

Mailing address

680 W Sierra Madre Blvd Unit 9
Sierra Madre, CA 91024-2242
Phone (310) 980-2315

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240115001585 CA Practitioner - Marriage and Family Therapist 6002268182 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
116047CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Soultenders Psychological Services, Inc. CurrentSince Jul 2, 2026 Accepting new patients
Soultenders, Inc. Mental Health CurrentSince Jan 3, 2024 Accepting new patients

Locations

41 E Foothill Blvd
Ste 102
Arcadia, CA 91006
Phone (626) 701-4249

3018 E Colorado Blvd
#100
Pasadena, CA 91107
Phone (626) 449-3900

50 N Hill Ave
Ste 201A
Pasadena, CA 91106
Phone (626) 372-1999

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1572912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572912000000",
    "number": "1376187070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 W SIERRA MADRE BLVD UNIT 9",
            "city": "SIERRA MADRE",
            "state": "CA",
            "postal_code": "910242242",
            "telephone_number": "310-980-2315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14930 VENTURA BLVD STE 230",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914033487",
            "telephone_number": "626-415-8287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUECK",
        "first_name": "FLORENCE",
        "middle_name": "ELISABETH",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-05",
        "last_updated": "2019-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "116047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

Verify at the official NPI Registry.