Active NPI
Lynn N. Swanson, LMFT
- Marriage & Family Therapist
- San Luis Obispo, CA
National Provider Identifier
1013034149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC 30704
- Practice address
- 11573 Los Osos Valley Rd
Suite D
San Luis Obispo, CA 93405 - Phone
- (805) 541-1434
- NPI assigned
- Mar 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC30407 | CA | |
| Marriage & Family Therapist | 106H00000X | MFC 30704 | CA | Primary |
Addresses
Primary practice location
11573 Los Osos Valley Rd
Suite D
San Luis Obispo, CA 93405
Mailing address
11573 Los Osos Valley Rd
Suite D
San Luis Obispo, CA 93405
Phone (805) 473-3367
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MFC30407 | Other | CA | PROFESSIONAL LICENSE NUMB |
Other names 1
- Mrs. Lynn Nancy Swanson-Manzella
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC 30704 | CA | MD | Marriage & Family Therapist |
| MFC30407 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1290384000000",
"number": "1013034149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11573 LOS OSOS VALLEY RD",
"address_2": "SUITE D",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "93405",
"telephone_number": "805-473-3367",
"fax_number": "805-473-4769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11573 LOS OSOS VALLEY RD",
"address_2": "SUITE D",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "93405",
"telephone_number": "805-541-1434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWANSON",
"first_name": "LYNN",
"middle_name": "N.",
"name_prefix": "Ms.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-23",
"last_updated": "2010-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC30407",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC 30704",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROFESSIONAL LICENSE NUMB",
"identifier": "MFC30407",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LYNN",
"last_name": "SWANSON-MANZELLA",
"middle_name": "NANCY",
"prefix": "MRS.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in San Luis Obispo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.