Individual provider Active NPI

Stephanie Lynne Danial, LMFT

  • Marriage & Family Therapist
  • La Mesa, CA
National Provider Identifier
1164937454
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
119208 Issued in CA
Practice address
8881 Fletcher Pkwy Ste 360
La Mesa, CA 91942-6103
Phone
(858) 279-1223
NPI assigned
Dec 8, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

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 119208 CA Primary

Addresses

Primary practice location

8881 Fletcher Pkwy Ste 360
La Mesa, CA 91942-6103

Mailing address

8881 Fletcher Pkwy Ste 360
La Mesa, CA 91942-6103

Other practice location 1

1002 E Grand Ave
Escondido, CA 92025-4605
Phone (760) 741-2660

Other practice location 2

8881 Fletcher Pkwy Ste 350
LA Mesa, CA 91942-6103
Phone (858) 279-1223

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240823001859 CA Practitioner - Marriage and Family Therapist 0648719500 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacific Coast Psychiatric Associates IncGroup PAC ID 2567469174, 637 clinicians

Practice addresses (Care Compare)

8881 Fletcher Pkwy
Suite 360
La Mesa, CA 91942-6103
Phone (858) 279-1223

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Coast Psychiatric Associates Inc CurrentSince Jul 9, 2024 Accepting new patients

Locations

8881 Fletcher Pkwy
Ste 360
La Mesa, CA 91942
Phone (619) 460-2700

8881 Fletcher Pkwy
Ste 350
La Mesa, CA 91942
Phone (619) 465-9792

490 Post St
Ste 1043
San Francisco, CA 94102
Phone (415) 409-0944

Organizations & group practices 1

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": "1512691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1164937454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8881 FLETCHER PKWY STE 360",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919426103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8881 FLETCHER PKWY STE 360",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919426103",
            "telephone_number": "858-279-1223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1002 E Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Escondido",
            "state": "CA",
            "postal_code": "920254605",
            "country_code": "US",
            "telephone_number": "760-741-2660",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8881 Fletcher Pkwy Ste 350",
            "address_purpose": "LOCATION",
            "city": "LA Mesa",
            "state": "CA",
            "postal_code": "919426103",
            "country_code": "US",
            "telephone_number": "858-279-1223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANIAL",
        "first_name": "STEPHANIE",
        "middle_name": "LYNNE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-08",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "119208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

Verify at the official NPI Registry.