Individual provider Active NPI

Elizabeth Peggy Hernandez, MFT

  • Marriage & Family Therapist
  • Napa, CA
National Provider Identifier
1093987901
Registry record updated Nov 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 48543 Issued in CA
Practice address
1100 Lincoln Ave
Ste 108
Napa, CA 94558-4900
Phone
(707) 299-3815
Fax
(707) 257-9727
NPI assigned
Mar 31, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2016

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 MFC 48543 CA Primary
Professional Counselor 101YP2500X LPC1629 CA

Addresses

Primary practice location

1100 Lincoln Ave
Ste 108
Napa, CA 94558-4900

Mailing address

1100 Lincoln Ave
Ste 108
Napa, CA 94558-4900
Phone (707) 299-3815

Other names 1

  • Ms. Elizabeth Peggy Weeks Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPC1629CAMDProfessional Counselor
MFC 48543CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478044800000",
    "number": "1093987901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 LINCOLN AVE",
            "address_2": "STE 108",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945584900",
            "telephone_number": "707-299-3815",
            "fax_number": "707-257-9727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 LINCOLN AVE",
            "address_2": "STE 108",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945584900",
            "telephone_number": "707-299-3815",
            "fax_number": "707-257-9727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "ELIZABETH",
        "middle_name": "PEGGY",
        "name_prefix": "Mrs.",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-31",
        "last_updated": "2016-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 48543",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "LPC1629",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "WEEKS",
            "middle_name": "PEGGY",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Napa, CA

Sources for this page

Verify at the official NPI Registry.