Individual provider Active NPI

Anissa Bell, LMFT

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1134588593
Registry record updated Mar 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
82931 Issued in CA
Practice address
12525 High Bluff Dr Ste 300
San Diego, CA 92130-2029
Phone
(858) 400-4646
Fax
(858) 400-4646
NPI assigned
Feb 14, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2020

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 82931 CA Primary

Addresses

Primary practice location

12525 High Bluff Dr Ste 300
San Diego, CA 92130-2029

Mailing address

12525 High Bluff Dr Ste 300
San Diego, CA 92130-2029
Phone (858) 400-4646

Other practice location 1

4520 Executive Dr
Suite 225
San Diego, CA 92121-3018
Phone (858) 202-1822

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Previously, effective Jul 31, 2024 through Jul 31, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
82931CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Anissa Bell Marriage & Family Therapy, Professional Corporation Marriage & Family Therapist Current Accepting new patients
Roybal MD Chemical Dependence Treatment Inc Past Accepting new patients

Locations

12526 High Bluff Dr
Ste 300
San Diego, CA 92130
Phone (512) 375-3210

Organizations & group practices 2

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": "1455408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584489600000",
    "number": "1134588593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12525 HIGH BLUFF DR STE 300",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302029",
            "telephone_number": "858-400-4646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12525 HIGH BLUFF DR STE 300",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302029",
            "telephone_number": "858-400-4646",
            "fax_number": "858-400-4646"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4520 Executive Dr",
            "address_2": "Suite 225",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921213018",
            "country_code": "US",
            "telephone_number": "858-202-1822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELL",
        "first_name": "ANISSA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-14",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "82931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.