Individual provider Active NPI

Heather George

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1003942582
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT 43136 Issued in CA
Practice address
4420 Hotel Circle CT Ste 350
San Diego, CA 92108-3435
Phone
(626) 691-4177
NPI assigned
Feb 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 4513 MN
Marriage & Family Therapist 106H00000X MFT 43136 CA Primary

Addresses

Primary practice location

4420 Hotel Circle CT Ste 350
San Diego, CA 92108-3435

Mailing address

4420 Hotel Circle CT Ste 350
San Diego, CA 92108-3435
Phone (626) 691-4177

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250311002833 CA Practitioner - Marriage and Family Therapist 6800230632 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HM Psychological Services IncGroup PAC ID 3375972151, 2 clinicians

Practice addresses (Care Compare)

4420 Hotel Circle CT
Suite 350
San Diego, CA 92108-3435
Phone (619) 500-4637

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFT 43136CAMDMarriage & Family Therapist
4513MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Carver County CurrentSince Jan 5, 2024 Accepting new patients
HM Psychological Services, Inc. CurrentSince Feb 28, 2025 Accepting new patients

Locations

4420 Hotel Circle Ct
Ste 350
San Diego, CA 92108
Phone (619) 500-4637

540 E 1st St
Waconia, MN 55387
Phone (952) 442-4437

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1003942582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4420 HOTEL CIRCLE CT STE 350",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083435",
            "telephone_number": "626-691-4177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4420 HOTEL CIRCLE CT STE 350",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083435",
            "telephone_number": "626-691-4177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "HEATHER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "4513",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT 43136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.