Individual provider Active NPI

Elizabeth Ehrmann-Subia, LMFT # 80086

  • Marriage & Family Therapist
  • Santa Rosa, CA
National Provider Identifier
1043641277
Registry record updated May 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
80086 Issued in CA
Practice address
3322 Chanate Rd
Santa Rosa, CA 95404-1708
Phone
(707) 565-4737
NPI assigned
Dec 13, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 80086 CA Primary

Addresses

Primary practice location

3322 Chanate Rd
Santa Rosa, CA 95404-1708

Mailing address

2227 Challenger Way Ste 207
Santa Rosa, CA 95407-5418
Phone (707) 565-3365

Other identifiers 1

IdentifierTypeStateIssuer
99999OtherCACATASTROPHIC ONLY

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
I20241217003508 CA Practitioner - Marriage and Family Therapist 1153858030 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
County of Sonoma CurrentSince Nov 11, 2024 Accepting new patients
County of Sonoma Current Accepting new patients
County of Sonoma CurrentSince Nov 11, 2024 Accepting new patients

Locations

1450 Neotomas Ave
Ste 200
Santa Rosa, CA 95405
Phone (707) 565-4131

3322 Chanate Rd
Santa Rosa, CA 95404
Phone (707) 565-4970

2225 Challenger Way
Santa Rosa, CA 95407
Phone (707) 565-4101

Organizations & group practices 3

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": "1386892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620864000000",
    "number": "1043641277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2227 CHALLENGER WAY STE 207",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954075418",
            "telephone_number": "707-565-3365",
            "fax_number": "707-565-4907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3322 CHANATE RD",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954041708",
            "telephone_number": "707-565-4737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EHRMANN-SUBIA",
        "first_name": "ELIZABETH",
        "credential": "LMFT # 80086",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-13",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "80086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CATASTROPHIC ONLY",
            "identifier": "99999",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

Verify at the official NPI Registry.