Active NPI
Stephenie Jo Ilagan, BCBA
- Professional Counselor
- San Clemente, CA
National Provider Identifier
1457581407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 15530
- Practice address
- 302 N El Camino Real Ste 202
San Clemente, CA 92672-4778 - Phone
- (949) 292-2852
- NPI assigned
- Jul 23, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 15530 | CA | Primary |
Addresses
Primary practice location
302 N El Camino Real Ste 202
San Clemente, CA 92672-4778
Mailing address
302 N El Camino Real Ste 202
San Clemente, CA 92672-4778
Phone (949) 292-2852
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jun 25, 2026 through Jun 25, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15530 | CA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Childrens Learning Connection, LLC | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Speech-Language Pathologist
- Huntington Beach, CA
- NPI 1689723595
Behavior Analyst
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779321600000",
"number": "1457581407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 N EL CAMINO REAL STE 202",
"city": "SAN CLEMENTE",
"state": "CA",
"postal_code": "926724778",
"telephone_number": "949-292-2852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 N EL CAMINO REAL STE 202",
"city": "SAN CLEMENTE",
"state": "CA",
"postal_code": "926724778",
"telephone_number": "949-292-2852"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ILAGAN",
"first_name": "STEPHENIE",
"middle_name": "JO",
"name_prefix": "Mrs.",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-23",
"last_updated": "2026-05-21",
"certification_date": "2026-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "15530",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Clemente, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.