Active NPI
Stuart Lord, LMFT
- Marriage & Family Therapist
- Berkeley, CA
National Provider Identifier
1033730809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFT15429
- Practice address
- 1221 Talbot Ave
Berkeley, CA 94706-2335 - Phone
- (510) 543-8854
- NPI assigned
- May 2, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFT15429 | CA | Primary |
Addresses
Primary practice location
1221 Talbot Ave
Berkeley, CA 94706-2335
Mailing address
PO Box 6439
Albany, CA 94706-0439
Phone (510) 543-8854
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MFT15429 | Other | CA | CALIFORNIA BOARD OF BEHAVIORAL SCIENCES (MARRIAGE AND FAMILY THERAPIST LICENSE) |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | stuartlordmft.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 13, 2024 through Feb 13, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFT15429 | CA | MD | Marriage & Family Therapist |
| 15429 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620518400000",
"number": "1033730809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6439",
"city": "ALBANY",
"state": "CA",
"postal_code": "947060439",
"telephone_number": "510-543-8854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 TALBOT AVE",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947062335",
"telephone_number": "510-543-8854"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LORD",
"first_name": "STUART",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-05-02",
"last_updated": "2021-05-09",
"certification_date": "2021-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFT15429",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA BOARD OF BEHAVIORAL SCIENCES (MARRIAGE AND FAMILY THERAPIST LICENSE)",
"identifier": "MFT15429",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "stuartlordmft.com",
"affiliation": "N",
"endpointDescription": "website",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "website",
"address_1": "1221 Talbot Ave",
"city": "Berkeley",
"state": "CA",
"country_code": "US",
"postal_code": "947062335",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Berkeley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.