Nina A Stark, LCSW,BCD

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LCS 4510 Issued in CA

Practice address

8950 Villa la Jolla Dr Ste C113
La Jolla, CA 92037-1703

Phone

(760) 633-2437

Fax

(858) 459-4651

NPI assigned

Sep 23, 2008

Last updated

Sep 23, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222128000000",
    "number": "1861642100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8950 VILLA LA JOLLA DR STE C113",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371703",
            "telephone_number": "760-633-2437",
            "fax_number": "858-459-4651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8950 VILLA LA JOLLA DR STE C113",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371703",
            "telephone_number": "760-633-2437",
            "fax_number": "858-459-4651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARK",
        "first_name": "NINA",
        "middle_name": "A",
        "credential": "LCSW,BCD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-23",
        "last_updated": "2008-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LCS 4510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Allen Stainer, MD FACS
• Barbara Eloise Stangl, MSN FNP-BC
• Stanley H. Nakamura D.D.S., Inc.
• Debra Stanley, R.D.
• Roman Starikov, MD
• Paul Stark, M.D.
• Max Staskauskas
• Mary J. States, N.P.
• Julie B. Steele, M.D.
• Natalie Davila Steele, LMFT

• Mental Health Counselor in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.