Lisa Marie Androvich, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

127472 Issued in CA

Practice address

3430 Robin LN # 4
Cameron Park, CA 95682-8407

Phone

(530) 676-2899

Fax

(530) 387-6456

NPI assigned

Aug 27, 2021

Last updated

Aug 27, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Infant Parent Center

  • Marriage & Family Therapist
  • Cameron Park, CA
  • NPI 1023356102
  NPD (past)

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

{
    "created_epoch": "1630022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630022400000",
    "number": "1114694908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "971 VIA TREVISO",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957627246",
            "telephone_number": "530-919-3969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3430 ROBIN LN # 4",
            "city": "CAMERON PARK",
            "state": "CA",
            "postal_code": "956828407",
            "telephone_number": "530-676-2899",
            "fax_number": "530-387-6456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDROVICH",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-27",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "127472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Reyhan Anbarghalami, F.NP.
• Lauren Anderson, OD
• Jeanne Rachel Appell, RN, NP, CDE
• Asha K Desai .M.D.P.C.
• Mark Baguley
• Natasha Bahm, HIS
• Laura M Bailey, MS, LMFT

• Marriage & Family Therapist in Cameron Park, CA
• Providers in Cameron Park, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.