Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lara Michelle Dirks

Individual provider Marriage & Family Therapist · NPI 1568582690

Lara Michelle Dirks is a Marriage and Family Therapist in Modesto, California. Qualified in 2007, 19 years ago. Licensed in California.

Years since qualifying
19
Licensed in
CA
In the registry since
2007
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Practice location Address checks out

800 Scenic Dr
Modesto, CA 95350-6131
Phone: (206) 525-6046
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 49770 (CA)

Record details

NPI number1568582690
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 30, 2007
Last updated in NPPESJanuary 12, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Modesto