Active NPI
Joshua A. Lederach, M.A, AMFT, APCC
- Marriage & Family Therapist
- Monterey, CA
National Provider Identifier
1144836099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 119574
- Practice address
- 1010 Cass St # C
Monterey, CA 93940-4515 - Phone
- (831) 996-1222
- NPI assigned
- Sep 16, 2020
- Last updated
- Sep 16, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 119574 | CA | Primary |
Addresses
Primary practice location
1010 Cass St # C
Monterey, CA 93940-4515
Mailing address
214 Main St Apt 260
El Segundo, CA 90245-3803
Phone (720) 560-2602
Other practice location 1
214 Main St Apt 260
El Segundo, CA 90245-3803
Phone (720) 560-2602
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 119574 | CA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Perspectives Center for Counseling | Marriage & Family Therapist | Past | Accepting new patients |
| Shine a Light Counseling Center, Inc | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Marriage & Family Therapist
- Santa Cruz, CA
- NPI 1588498455
-
- Community/Behavioral Health Agency
- Watsonville, CA
- NPI 1689058349
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600214400000",
"number": "1144836099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 MAIN ST APT 260",
"city": "EL SEGUNDO",
"state": "CA",
"postal_code": "902453803",
"telephone_number": "720-560-2602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 CASS ST # C",
"city": "MONTEREY",
"state": "CA",
"postal_code": "939404515",
"telephone_number": "831-996-1222"
}
],
"practiceLocations": [
{
"address_1": "214 Main St Apt 260",
"address_purpose": "LOCATION",
"city": "El Segundo",
"state": "CA",
"postal_code": "902453803",
"country_code": "US",
"telephone_number": "720-560-2602",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEDERACH",
"first_name": "JOSHUA",
"middle_name": "A.",
"credential": "M.A, AMFT, APCC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-09-16",
"last_updated": "2020-09-16",
"certification_date": "2020-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "119574",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monterey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.