Elizabeth Iaquinto Licensed Marriage and Family Therapist Inc

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

ELIZABETH IAQUINTO LICENSED MARRIAGE AND FAMILY THERAPIST INC

Doing business as

Poppy Ridge Wellness and Therapy

Practice address

420 Bullard Ave Ste 104
Clovis, CA 93612-1054

Phone

(559) 934-5296

NPI assigned

Jan 31, 2025

Last updated

Jan 31, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elizabeth Gabriella Iaquinto, MA, LMFTNPI 1225686769

Title

Ceo

Phone

(559) 679-9220

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Poppy Ridge Wellness and Therapy Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elizabeth Iaquinto, LMFT

  • Marriage & Family Therapist
  • Clovis, CA
  • NPI 1225686769
  NPD Authorized official

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

{
    "created_epoch": "1738281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738281600000",
    "number": "1174336135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 MORRIS AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936111444",
            "telephone_number": "559-679-9220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 BULLARD AVE STE 104",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936121054",
            "telephone_number": "559-934-5296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH IAQUINTO LICENSED MARRIAGE AND FAMILY THERAPIST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-31",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A",
        "authorized_official_last_name": "IAQUINTO",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "GABRIELLA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "559-679-9220",
        "authorized_official_credential": "MA, LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1225686769",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Poppy Ridge Wellness and Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dana Ek, ATC
• Ifeatu Ekelem, M.D.
• Nicholas W Eldred, RNFA
• Norman Elento
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• Andrea Sigrid Elizabeth Elliott
• Ken Richard Ellzey, MD
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• Emergency Physicians Urgent Care Inc (Accelerated Urgent Care)

• Mental Health Clinic/Center (Including Community Mental Health Center) in Clovis, CA
• Providers in Clovis, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; 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.