Individual provider Active NPI

Martha Wethey, MA

  • Marriage & Family Therapist
  • Redlands, CA
National Provider Identifier
1093881039
Registry record updated Sep 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
79300 Issued in CA
Practice address
2068 Orange Tree LN Ste 216
Redlands, CA 92374-4555
Phone
(909) 553-0448
Fax
(909) 363-9202
NPI assigned
Nov 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 79300 CA Primary

Addresses

Primary practice location

2068 Orange Tree LN Ste 216
Redlands, CA 92374-4555

Mailing address

PO Box 7461
Redlands
Redlands, CA 92375-0461
Phone (909) 553-0448

Other practice location 1

11870 Pierce St Ste 150
Riverside, CA 92505-6600
Phone (909) 557-6574

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
I20240815002131 CA Practitioner - Marriage and Family Therapist 6709228505 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spring to Autumn Family Counseling, Inc.Group PAC ID 1254773054, 18 clinicians

Practice addresses (Care Compare)

2068 Orange Tree LN
Suite 216
Redlands, CA 92374-4555
Phone (909) 557-6574

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
79300CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Spring to Autumn Family Counseling, Inc. Marriage & Family Therapist CurrentSince Apr 15, 2015 Accepting new patients

Locations

2068 Orange Tree Ln
Ste 216
Redlands, CA 92374
Phone (909) 553-0448

1740 Plum Ln
Ste B
Redlands, CA 92374
Phone (909) 557-6574

1275 W Park Ave
#7461
Redlands, CA 92373

11870 Pierce St
Ste 150
Riverside, CA 92505
Phone (909) 557-6574

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664496000000",
    "number": "1093881039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7461",
            "address_2": "REDLANDS",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923750461",
            "telephone_number": "909-553-0448",
            "fax_number": "909-363-9202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2068 ORANGE TREE LN STE 216",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923744555",
            "telephone_number": "909-553-0448",
            "fax_number": "909-363-9202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11870 Pierce St Ste 150",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925056600",
            "country_code": "US",
            "telephone_number": "909-557-6574",
            "fax_number": "909-363-9202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WETHEY",
        "first_name": "MARTHA",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "79300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

Verify at the official NPI Registry.