Individual provider Active NPI

Sheryl Elizabeth Woodhouse, LMFT

  • Marriage & Family Therapist
  • Lake Forest, CA
National Provider Identifier
1154402352
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC38832 Issued in CA
Practice address
23832 Rockfield Blvd., Suite 120
Lake Forest, CA 92630
Phone
(949) 212-6228
Fax
(714) 373-4550
NPI assigned
Oct 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X
Marriage & Family Therapist 106H00000X MFC38832 CA Primary

Addresses

Primary practice location

23832 Rockfield Blvd., Suite 120
Lake Forest, CA 92630

Mailing address

27702 Crown Valley Pkwy
D-4 #218
Ladera Ranch, CA 92694-1348
Phone (949) 212-6228

Other practice location 1

23832 Rockfield Blvd., Suite 120
Lake Forest, CA 92630
Phone (949) 212-6228

Other names 1

  • Sheryl Elizabeth Woodhouse Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 16, 2024 through Feb 16, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MFC38832CAMDMarriage & Family Therapist
38832CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Borntoebalanced.Com, Inc. Marriage & Family Therapist Current Accepting new patients
County of Orange PastSince Jun 1, 2022 Accepting new patients
County of Orange PastSince Jun 1, 2022 Accepting new patients

Locations

27702 Crown Valley Pkwy
Ste D4
Ladera Ranch, CA 92694
Phone (949) 374-2395

23832 Rockfield Blvd
Ste 120
Lake Forest, CA 92630
Phone (949) 212-6228

Organizations & group practices 3

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1154402352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27702 CROWN VALLEY PKWY",
            "address_2": "D-4 #218",
            "city": "LADERA RANCH",
            "state": "CA",
            "postal_code": "926941348",
            "telephone_number": "949-212-6228",
            "fax_number": "714-373-4550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23832 ROCKFIELD BLVD., SUITE 120",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "92630",
            "telephone_number": "949-212-6228",
            "fax_number": "714-373-4550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23832 Rockfield Blvd., Suite 120",
            "address_purpose": "LOCATION",
            "city": "Lake Forest",
            "state": "CA",
            "postal_code": "92630",
            "country_code": "US",
            "telephone_number": "949-212-6228",
            "fax_number": "949-218-5466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOODHOUSE",
        "first_name": "SHERYL",
        "middle_name": "ELIZABETH",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2024-04-03",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC38832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHERYL",
            "last_name": "WOODHOUSE",
            "middle_name": "ELIZABETH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lake Forest, CA

Sources for this page

Verify at the official NPI Registry.