Individual provider Active NPI

Elizabeth Zamierowski Wenger, MA, LMFT

  • Marriage & Family Therapist
  • Newport Beach, CA
National Provider Identifier
1083199459
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
108544 Issued in CA
Practice address
1000 Quail St Ste 245
Newport Beach, CA 92660-2749
Phone
(949) 229-2224
NPI assigned
Oct 1, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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 10844 CA
Marriage & Family Therapist 106H00000X 108544 CA Primary

Addresses

Primary practice location

1000 Quail St Ste 245
Newport Beach, CA 92660-2749

Mailing address

1000 Quail St Ste 245
Newport Beach, CA 92660-2749
Phone (949) 229-2224

Other practice location 1

1001 Dove St Ste 280
Newport Beach, CA 92660-2815
Phone (929) 923-8961

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
108544CAMDMarriage & Family Therapist
10844CAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1538352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1083199459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 QUAIL ST STE 245",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602749",
            "telephone_number": "949-229-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 QUAIL ST STE 245",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602749",
            "telephone_number": "949-229-2224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Dove St Ste 280",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926602815",
            "country_code": "US",
            "telephone_number": "929-923-8961",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WENGER",
        "first_name": "ELIZABETH",
        "middle_name": "ZAMIEROWSKI",
        "credential": "MA, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-01",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "10844",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "108544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; 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.