Lizzette Vescera, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

87605 Issued in CA

Practice address

2659 State St Ste 100
Carlsbad, CA 92008-1627

Phone

(562) 257-6528

Fax

(866) 506-5725

NPI assigned

May 30, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Lizzette Vescera Marriage and Family Therapy

  • Community/Behavioral Health Agency
  • Carlsbad, CA
  • NPI 1124648266
  Medicare reassignment NPD Authorized official
• Soul Tide Psychotherapy PC

  • Clinical Psychologist
  • Carlsbad, CA
  • NPI 1528856531
  Medicare reassignment
• Encourageher Counseling Inc.

  • Clinical Social Worker
  • Carlsbad, CA
  • NPI 1558866590
  NPD (past)

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

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1063670586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4761 LAGUNITA WAY",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920571214",
            "telephone_number": "562-257-6528",
            "fax_number": "866-506-5725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2659 STATE ST STE 100",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920081627",
            "telephone_number": "562-257-6528",
            "fax_number": "866-506-5725"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "920 E Broadway",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "CA",
            "postal_code": "912051204",
            "country_code": "US",
            "telephone_number": "818-242-8403 x243",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "108 W Victoria St",
            "address_purpose": "LOCATION",
            "city": "Gardena",
            "state": "CA",
            "postal_code": "902483523",
            "country_code": "US",
            "telephone_number": "310-218-6312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VESCERA",
        "first_name": "LIZZETTE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-30",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "87605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Carlsbad, CA
• Providers in Carlsbad, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.