Individual provider Active NPI

Lucinda K. Stafford-Lewis, LMFT

  • Marriage & Family Therapist
  • San Clemente, CA
National Provider Identifier
1679972046
Registry record updated Aug 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
51935 Issued in CA
Practice address
1401 N El Camino Real
Suite 100
San Clemente, CA 92672-4985
Phone
(949) 291-2915
NPI assigned
Aug 21, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2014

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 51935 CA Primary

Addresses

Primary practice location

1401 N El Camino Real
Suite 100
San Clemente, CA 92672-4985

Mailing address

1401 N. El Camino Real
Suite 100
San Clemente, CA 92672
Phone (949) 291-2915

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
I20240709001160 CA Practitioner - Marriage and Family Therapist 0143765628 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
K Allen Family Therapist IncGroup PAC ID 1951529775, 9 clinicians

Practice addresses (Care Compare)

4 Collingwood
Aliso Viejo, CA 92656-1939
Phone (949) 630-0584

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
51935CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
K Allen Family Therapist Inc CurrentSince Jun 25, 2024 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.

NPI Registry JSON

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

{
    "created_epoch": "1408579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408579200000",
    "number": "1679972046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 N. EL CAMINO REAL",
            "address_2": "SUITE 100",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "92672",
            "telephone_number": "949-291-2915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 N EL CAMINO REAL",
            "address_2": "SUITE 100",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926724985",
            "telephone_number": "949-291-2915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAFFORD-LEWIS",
        "first_name": "LUCINDA",
        "middle_name": "K.",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-21",
        "last_updated": "2014-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "51935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Clemente, CA

Sources for this page

Verify at the official NPI Registry.