Clarice Irene Stout

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

107743 Issued in CA

Practice address

2601 E Chapman Ave Ste 111
Fullerton, CA 92831-3737

Phone

(949) 293-6249

Fax

(888) 974-6532

NPI assigned

Jan 23, 2019

Sex

Female

Sole proprietor

No

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

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Andrea Rubin Marriage & Family Therapy Inc

  • Marriage & Family Therapist
  • Garden Grove, CA
  • NPI 1134612278
  NPD (past)
• Camino Family Counseling, Inc.

  • Marriage & Family Therapist
  • Whittier, CA
  • NPI 1295204139
  NPD (past)
• Congruent Lives Inc

  • Marriage & Family Therapist
  • Brea, CA
  • NPI 1184181786
  NPD (past)
• Heredia Family Therapy, Inc

  dba Heredia Therapy Group

  • Marriage & Family Therapist
  • City of Industry, CA
  • NPI 1326553926
  NPD (past)

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

{
    "created_epoch": "1548201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552435200000",
    "number": "1861956898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10614 CORDOBA CT",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906012230",
            "telephone_number": "562-968-4692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 E CHAPMAN AVE STE 111",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928313737",
            "telephone_number": "949-293-6249",
            "fax_number": "888-974-6532"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14408 Whittier Blvd Ste A7",
            "address_purpose": "LOCATION",
            "city": "Whittier",
            "state": "CA",
            "postal_code": "906052156",
            "country_code": "US",
            "telephone_number": "626-600-2068",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "531 E Chapman Ave Ste D",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928661647",
            "country_code": "US",
            "telephone_number": "714-357-4724",
            "fax_number": "714-703-9341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOUT",
        "first_name": "CLARICE",
        "middle_name": "IRENE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-23",
        "last_updated": "2019-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "107743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Elizabeth Stilwell, LMFT
• Marita Nicole Stoffel
• Ryan Anthony Stone, LMFT
• Dekayszae J Stones
• Madeline Cina Storch
• Nazmie Strambeanu
• Bethany Kate Strand
• James Wade Stream, OTR/L
• Charles Coonan Streit, MD
• Kyle T Strickland

• Marriage & Family Therapist in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.