Individual provider Active NPI

Elizabeth Congo, LMFT 91048

  • Marriage & Family Therapist
  • Salinas, CA
National Provider Identifier
1144678111
Registry record updated Jun 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
91048 Issued in CA
Practice address
339 Pajaro St
Salinas, CA 93901-3400
Phone
(831) 800-7530
NPI assigned
May 31, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2016

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 91048 CA Primary

Addresses

Primary practice location

339 Pajaro St
Salinas, CA 93901-3400

Mailing address

409 San Bernabe Dr
Monterey, CA 93940-6126
Phone (831) 915-4908

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

NPI Registry JSON

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

{
    "created_epoch": "1464652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465430400000",
    "number": "1144678111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 SAN BERNABE DR",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939406126",
            "telephone_number": "831-915-4908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 PAJARO ST",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939013400",
            "telephone_number": "831-800-7530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONGO",
        "first_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "LMFT 91048",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-31",
        "last_updated": "2016-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "91048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2016; 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.