Individual provider Active NPI

Erica Arnold

  • Marriage & Family Therapist
  • Santa Monica, CA
National Provider Identifier
1184180309
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
148147 Issued in CA
Practice address
219 Montana Ave Apt 101
Santa Monica, CA 90403-1141
Phone
(209) 470-6941
NPI assigned
Feb 12, 2019
Reactivated
Sep 23, 2020
Last updated
Jul 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 16082 CA
Marriage & Family Therapist 106H00000X 148147 CA Primary

Addresses

Primary practice location

219 Montana Ave Apt 101
Santa Monica, CA 90403-1141

Mailing address

219 Montana Ave Apt 101
Santa Monica, CA 90403-1141
Phone (209) 470-6941

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
16082CAMDProfessional Counselor
148147CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1549929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1184180309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 MONTANA AVE APT 101",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904031141",
            "telephone_number": "209-470-6941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 MONTANA AVE APT 101",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904031141",
            "telephone_number": "209-470-6941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARNOLD",
        "first_name": "ERICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-12",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "deactivation_date": "2020-09-11",
        "reactivation_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "16082",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "148147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; 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.