Michelle Lee Bakalarski, MA, LMFT

Key facts

NPI

1053087429

Entity type

Individual (NPI type 1)

Primary specialty

Marriage & Family Therapist 106H00000X

Practice address

2425 Porter St
Soquel, CA 95073-2444

Phone

(831) 251-4922

NPI assigned

Aug 17, 2021

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Feb 4, 2025 through Feb 4, 2027

National Provider Directory

Medicare enrollment (NPD)

No

Credentials

Master of Arts

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 30, 2025.

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1053087429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7960 SOQUEL DR STE B393",
            "city": "APTOS",
            "state": "CA",
            "postal_code": "950033999",
            "telephone_number": "312-505-6541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 PORTER ST",
            "city": "SOQUEL",
            "state": "CA",
            "postal_code": "950732444",
            "telephone_number": "831-251-4922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKALARSKI",
        "first_name": "MICHELLE",
        "middle_name": "LEE",
        "credential": "MA, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-17",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Soquel, CA

• Katia Atman
• Linda Jean Austin, MFT
• Katlyn Bach, OTR/L
• Dana Frances Bail, LCSW
• Nicole A Baisden, NP
• Olivia Baker, L.AC
• Paul Stephen Ban, CERTIFIED MASSAGE TH
• Elise Bankosh
• Branna Banks
• Theresa L Barreras

All providers in Soquel, CA · Marriage & Family Therapist in California