Organization Active NPI

Elevated Life

  • Marriage & Family Therapist
  • Upland, CA
National Provider Identifier
1043703242
Registry record updated Jun 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
45458 Issued in CA
Legal business name
ELEVATED LIFE
Practice address
818 N Mountain Ave Ste 219
Upland, CA 91786-4165
Phone
(909) 437-0765
Fax
(909) 854-5880
NPI assigned
Jun 12, 2018
Last updated
Jun 12, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2018

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

Authorized official

Name
Sheila Marshall, LMFT, PPSNPI 1982747283
Title
Owner/ LMFT
Phone
(909) 437-0765

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 45458 CA Primary

Addresses

Primary practice location

818 N Mountain Ave Ste 219
Upland, CA 91786-4165

Mailing address

PO Box 1887
Rancho Cucamonga, CA 91729-1887
Phone (909) 437-0765

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528761600000",
    "number": "1043703242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1887",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917291887",
            "telephone_number": "909-437-0765",
            "fax_number": "909-854-5880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 N MOUNTAIN AVE STE 219",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864165",
            "telephone_number": "909-437-0765",
            "fax_number": "909-854-5880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATED LIFE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-12",
        "last_updated": "2018-06-12",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_title_or_position": "OWNER/ LMFT",
        "authorized_official_telephone_number": "909-437-0765",
        "authorized_official_credential": "LMFT, PPS"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "45458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.