Individual provider Active NPI

Stephanie Garland Clavenna, MA, LMFT

  • Marriage & Family Therapist
  • Trophy Club, TX
National Provider Identifier
1417965815
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
202840 Issued in TX
Practice address
661 Indian Creek Dr
Trophy Club, TX 76262-5632
Phone
(806) 414-6199
NPI assigned
Aug 3, 2006
Last updated
Apr 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 85343 CA
Marriage & Family Therapist 106H00000X 202840 TX Primary

Addresses

Primary practice location

661 Indian Creek Dr
Trophy Club, TX 76262-5632

Mailing address

661 Indian Creek Dr
Trophy Club, TX 76262-5632
Phone (806) 414-6199

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 27, 2024 through Feb 27, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
202840TXMDMarriage & Family Therapist
85343CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1417965815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "661 INDIAN CREEK DR",
            "city": "TROPHY CLUB",
            "state": "TX",
            "postal_code": "762625632",
            "telephone_number": "806-414-6199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 INDIAN CREEK DR",
            "city": "TROPHY CLUB",
            "state": "TX",
            "postal_code": "762625632",
            "telephone_number": "806-414-6199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAVENNA",
        "first_name": "STEPHANIE",
        "middle_name": "GARLAND",
        "name_prefix": "Mrs.",
        "credential": "MA, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "85343",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "202840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trophy Club, TX

Sources for this page

Verify at the official NPI Registry.