Individual provider Active NPI

Heather K Swisher

  • Marriage & Family Therapist
  • La Jolla, CA
National Provider Identifier
1124169883
Registry record updated May 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC51330 Issued in CA
Practice address
8813 Villa la Jolla Dr
Suite 2002
La Jolla, CA 92037
Phone
(619) 987-4275
NPI assigned
Feb 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2018

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 MFC51330 CA Primary

Addresses

Primary practice location

8813 Villa la Jolla Dr
Suite 2002
La Jolla, CA 92037

Mailing address

8813 Villa la Jolla Dr
Suite 2002
La Jolla, CA 92037-1703

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
MFC51330CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Restore Within Therapy, a Professional Marriage and Family Therapy Corporation Marriage & Family Therapist Current Accepting new patients

Locations

12636 High Bluff Dr
Ste 400
San Diego, CA 92130
Phone (619) 992-4519

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": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527465600000",
    "number": "1124169883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8813 VILLA LA JOLLA DR",
            "address_2": "SUITE 2002",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8813 VILLA LA JOLLA DR",
            "address_2": "SUITE 2002",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "92037",
            "telephone_number": "619-987-4275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWISHER",
        "first_name": "HEATHER",
        "middle_name": "K",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2018-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC51330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

Verify at the official NPI Registry.