Individual provider Active NPI

Dustin Adler, LMFT

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1104587658
Registry record updated Apr 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
135225 Issued in CA
Practice address
11160 Rancho Carmel Dr Ste 106
San Diego, CA 92128-4674
Phone
(760) 575-4772
NPI assigned
Jan 6, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2023

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 135225 CA Primary

Addresses

Primary practice location

11160 Rancho Carmel Dr Ste 106
San Diego, CA 92128-4674

Mailing address

11160 Rancho Carmel Dr Ste 106
San Diego, CA 92128-4674
Phone (760) 575-4772

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.dustinadlertherapy.com/

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
135225CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1641427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682640000000",
    "number": "1104587658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11160 RANCHO CARMEL DR STE 106",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921284674",
            "telephone_number": "760-575-4772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11160 RANCHO CARMEL DR STE 106",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921284674",
            "telephone_number": "760-575-4772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADLER",
        "first_name": "DUSTIN",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-06",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "135225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.dustinadlertherapy.com/",
            "affiliation": "N",
            "address_1": "11160 Rancho Carmel Dr Ste 106",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921284674",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.