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

Mr. Robert Stark, MA, CMHC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1215197405

Mr. Robert Stark, MA, CMHC is an Addiction (Substance Use Disorder) Counselor in Provo, Utah. Licensed in California and Utah. Registered with an NPI since 2008.

Licensed in
CA, UT
In the registry since
2008
Specialties on file
4
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

750 N Freedom Blvd Ste 300
Provo, UT 84601-1690
Phone: (801) 373-4760
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 11425200-6004 (UT)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Mental Health Counselor Taxonomy 101YM0800X
Professional Counselor Taxonomy 101YP2500X · Licence 900 (CA)

Record details

NPI number1215197405
Entity typeIndividual (Type 1)
GenderMale
Credentials MA , CMHC
Sole proprietorNo
NPI enumeratedJune 11, 2008
Last updated in NPPESJanuary 27, 2025
Certification dateJanuary 27, 2025

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