Individual provider Active NPI

Deepa Pulipati

  • Marriage & Family Therapist
  • Ventura, CA
National Provider Identifier
1124470059
Registry record updated Mar 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
46595 Issued in CA
Practice address
3160 Telegraph Rd Ste 200
Ventura, CA 93003-3250
Phone
(805) 642-4611
NPI assigned
Jul 2, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 46595 CA
Professional Counselor 101YP2500X 46595 CA
Marriage & Family Therapist 106H00000X 46595 CA Primary

Addresses

Primary practice location

3160 Telegraph Rd Ste 200
Ventura, CA 93003-3250

Mailing address

3160 Telegraph Rd Ste 200
Ventura, CA 93003-3250
Phone (510) 209-8006

Other practice location 1

699 Peters Ave
Pleasanton, CA 94566-6678
Phone (510) 972-8020

Other practice location 2

2140 Eastman Ave Ste 112
Ventura, CA 93003-7786
Phone (510) 972-8020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
46595CAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Beachside Adult and Family Therapy Inc Mental Health PastSince Jul 17, 2022 Accepting new patients

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": "1467417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522281600000",
    "number": "1124470059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3160 TELEGRAPH RD STE 200",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033250",
            "telephone_number": "510-209-8006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3160 TELEGRAPH RD STE 200",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033250",
            "telephone_number": "805-642-4611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "699 Peters Ave",
            "address_purpose": "LOCATION",
            "city": "Pleasanton",
            "state": "CA",
            "postal_code": "945666678",
            "country_code": "US",
            "telephone_number": "510-972-8020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2140 Eastman Ave Ste 112",
            "address_purpose": "LOCATION",
            "city": "Ventura",
            "state": "CA",
            "postal_code": "930037786",
            "country_code": "US",
            "telephone_number": "510-972-8020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PULIPATI",
        "first_name": "DEEPA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-02",
        "last_updated": "2018-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "46595",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "46595",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "46595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.