Individual provider Active NPI

Peggy Ann Barrett, LMFT

  • Marriage & Family Therapist
  • Santa Monica, CA
National Provider Identifier
1063638237
Registry record updated Jun 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT77893 Issued in CA
Practice address
417 Bay St Apt 1
Santa Monica, CA 90405-1130
Phone
(310) 367-4149
NPI assigned
Apr 17, 2007
Last updated
Jun 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMFT77893 CA Primary
Occupational Therapist 225X00000X 833 CA

Addresses

Primary practice location

417 Bay St Apt 1
Santa Monica, CA 90405-1130

Mailing address

417 Bay St Apt 1
Santa Monica, CA 90405-1130
Phone (310) 367-4142

Other identifiers 1

IdentifierTypeStateIssuer
1063638237MedicaidCA

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address peggy.barrett@peggybarrett.com Direct
Direct Messaging Address peggy.barrett@peggybarrett.com Health Information Exchange (HIE)

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
I20250213003170 CA Practitioner - Marriage and Family Therapist 2264611433 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Silver Lake Psychology IncGroup PAC ID 7012250582, 19 clinicians

Practice addresses (Care Compare)

2301 Hyperion Ave
Suite a
Los Angeles, CA 90027-4711
Phone (310) 726-3890

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMFT77893CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Lake Psychology Inc. CurrentSince Dec 14, 2024 Accepting new patients
Sud Specialty Group - Ca Marriage & Family Therapist CurrentSince Oct 1, 2025 Accepting new patients

Locations

2301 Hyperion Ave
#A
Los Angeles, CA 90027
Phone (310) 726-3890

4633 Old Ironsides Dr
Ste 304
Santa Clara, CA 95054
Phone (501) 271-9428

5201 Great America Pkwy
Ste 320
Santa Clara, CA 95054
Phone (323) 968-6182

520 Broadway
Ste 200
Santa Monica, CA 90401
Phone (949) 280-5295

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1063638237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 BAY ST APT 1",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904051130",
            "telephone_number": "310-367-4142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 BAY ST APT 1",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904051130",
            "telephone_number": "310-367-4149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRETT",
        "first_name": "PEGGY",
        "middle_name": "ANN",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT77893",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "833",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063638237",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "peggy.barrett@peggybarrett.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "417 Bay St Apt 1",
            "city": "Santa Monica",
            "state": "CA",
            "country_code": "US",
            "postal_code": "904051130",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "peggy.barrett@peggybarrett.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "417 Bay St Apt 1",
            "city": "Santa Monica",
            "state": "CA",
            "country_code": "US",
            "postal_code": "904051130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.