Active NPI
Ellen Garfield
- Marriage & Family Therapist
- Aptos, CA
National Provider Identifier
1073980264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 103425
- Practice address
- 6233 Soquel Dr Ste C
Aptos, CA 95003 - Phone
- (831) 854-7543
- NPI assigned
- Aug 24, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Marriage & Family Therapist | 106H00000X | 103425 | CA | Primary |
Addresses
Primary practice location
6233 Soquel Dr Ste C
Aptos, CA 95003
Mailing address
321 2ND St Apt 7
Santa Cruz, CA 95060-5447
Phone (949) 375-0520
Other practice location 1
550 Water St
Building C Suite 3
Santa Cruz, CA 95060-4124
Phone (949) 375-0520
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MFT103425 | Other | CA | BOARD OF BEHAVIORAL SCIENCES |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jun 29, 2024 through Jun 29, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103425 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536278400000",
"number": "1073980264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "321 2ND ST APT 7",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950605447",
"telephone_number": "949-375-0520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6233 SOQUEL DR STE C",
"city": "APTOS",
"state": "CA",
"postal_code": "95003",
"telephone_number": "831-854-7543"
}
],
"practiceLocations": [
{
"address_1": "550 Water St",
"address_2": "Building C Suite 3",
"address_purpose": "LOCATION",
"city": "Santa Cruz",
"state": "CA",
"postal_code": "950604124",
"country_code": "US",
"telephone_number": "949-375-0520",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GARFIELD",
"first_name": "ELLEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-24",
"last_updated": "2018-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "103425",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF BEHAVIORAL SCIENCES",
"identifier": "MFT103425",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Aptos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2018; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.