Individual provider Active NPI

Elizabeth Margaret Frain, M.F.T.

  • Marriage & Family Therapist
  • Fairfield, CA
National Provider Identifier
1154406312
Registry record updated Feb 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT17057 Issued in CA
Practice address
724 Texas St Ste 205
Fairfield, CA 94533-5519
Phone
(707) 292-3559
Fax
(707) 528-2279
NPI assigned
Oct 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2017

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 LMFT17057 CA Primary

Addresses

Primary practice location

724 Texas St Ste 205
Fairfield, CA 94533-5519

Mailing address

715 Slumber Pass
San Antonio, TX 78260-5318
Phone (707) 446-9393

Other identifiers 2

IdentifierTypeStateIssuer
11585884OtherCACAQH
LMFT17057OtherCALICENSE

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
LMFT17057CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486339200000",
    "number": "1154406312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 SLUMBER PASS",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782605318",
            "telephone_number": "707-446-9393",
            "fax_number": "707-455-6037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 TEXAS ST STE 205",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945335519",
            "telephone_number": "707-292-3559",
            "fax_number": "707-528-2279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAIN",
        "first_name": "ELIZABETH",
        "middle_name": "MARGARET",
        "name_prefix": "Dr.",
        "credential": "M.F.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2017-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT17057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11585884",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "LMFT17057",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2017; 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.