Stacy Clarke, AMFT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

113289 Issued in CA

Practice address

333 S Farrell Dr
Palm Springs, CA 92262-7905

Phone

(760) 416-1360

NPI assigned

Sep 10, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Desert Soleil Family Counseling Center, PC

  • Mental Health Counselor
  • La Quinta, CA
  • NPI 1013559962
  NPD
• Palm Springs Unified School District

  • Local Education Agency (LEA)
  • Palm Springs, CA
  • NPI 1578815460
  NPD (past)

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

{
    "created_epoch": "1599696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1972118636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 S FARRELL DR",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922627905",
            "telephone_number": "760-416-1360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 S FARRELL DR",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922627905",
            "telephone_number": "760-416-1360"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "78060 Calle Estado Ste 4",
            "address_purpose": "LOCATION",
            "city": "LA Quinta",
            "state": "CA",
            "postal_code": "922532960",
            "country_code": "US",
            "telephone_number": "424-375-6300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "STACY",
        "credential": "AMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-10",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "126478",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "113289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cielo Hospice Incorporated
• Jason Cinti, DO
• Omar Ciriaco Martinez
• Edwin Cisneros
• Michael J Clapper, D.D.S.
• James Wesley Clayton, CRNA
• Brian M Cleary, MD
• Richard Clifford III, DO
• Lauren Closas
• James Freemean Cloud, M.F.T.

• Mental Health Counselor in Palm Springs, CA
• Providers in Palm Springs, 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 Oct 2, 2024; 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.