Individual provider Active NPI

Stacey Burk, LMFT

  • Marriage & Family Therapist
  • National City, CA
National Provider Identifier
1669998761
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
90933 Issued in CA
Practice address
2743 Highland Ave
National City, CA 91950-7410
Phone
(844) 200-2426
Fax
(619) 474-4008
NPI assigned
Aug 21, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 90933 CA Primary

Addresses

Primary practice location

2743 Highland Ave
National City, CA 91950-7410

Mailing address

637 3Rd Ave
Chula Vista, CA 91910-5707
Phone (844) 200-2426

Other practice location 1

10737 Camino Ruiz
San Diego, CA 92126-2359
Phone (844) 200-2426

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
I20260210000737 CA Practitioner - Marriage and Family Therapist 5991170573 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2006
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

629 Villa Romero Dr
El Paso, TX 79928-5853

637 3Rd Ave
Suite E1
Chula Vista, CA 91910-5707

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
90933CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Operation Samahan, Inc. CurrentSince Dec 28, 2025 Accepting new patients
Community Medical Specialists Inc CurrentSince Jan 15, 2023 Accepting new patients
Operation Samahan, Inc. CurrentSince Dec 28, 2025 Accepting new patients
Community Medical Specialists Inc PastSince Aug 3, 2025 Accepting new patients

Locations

1428 Highland Ave
National City, CA 91950
Phone (619) 245-1707

2743 Highland Ave
National City, CA 91950
Phone (619) 474-2284

415 Knollcrest Dr
Ste 101
Redding, CA 96002
Phone (530) 255-7507

10737 Camino Ruiz
Ste 235
San Diego, CA 92126
Phone (858) 578-4220

Organizations & group practices 4

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": "1503273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1669998761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "637 3RD AVE",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919105707",
            "telephone_number": "844-200-2426",
            "fax_number": "619-356-2726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2743 HIGHLAND AVE",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919507410",
            "telephone_number": "844-200-2426",
            "fax_number": "619-474-4008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10737 Camino Ruiz",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921262359",
            "country_code": "US",
            "telephone_number": "844-200-2426",
            "fax_number": "619-474-4008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURK",
        "first_name": "STACEY",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-21",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "90933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in National City, CA

Sources for this page

Verify at the official NPI Registry.