Individual provider Active NPI

Lisa Catanzaro, LMFT

  • Marriage & Family Therapist
  • City of Industry, CA
National Provider Identifier
1184224966
Registry record updated Dec 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
122538 Issued in CA
Practice address
13200 Crossroads Pkwy N Ste 335
City of Industry, CA 91746-3485
Phone
(562) 821-1491
NPI assigned
Oct 29, 2020
Last updated
Dec 4, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2020

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 122538 CA Primary

Addresses

Primary practice location

13200 Crossroads Pkwy N Ste 335
City of Industry, CA 91746-3485

Mailing address

13200 Crossroads Pkwy N Ste 335
City of Industry, CA 91746-3485

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
I20240219002827 CA Practitioner - Marriage and Family Therapist 5092159962 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
122538CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Heredia Family Therapy, Inc Marriage & Family Therapist CurrentSince Oct 9, 2022 Accepting new patients
Heredia Family Therapy, Inc CurrentSince May 8, 2022 Accepting new patients
Wise Mind Counseling Services Inc. Marriage & Family Therapist CurrentSince Feb 19, 2024 Accepting new patients

Locations

13200 Crossroads Pkwy N
Ste 335
City of Industry, CA 91746
Phone (562) 821-6095

11801 Pierce St
Ste 200
Riverside, CA 92505
Phone (323) 547-2662

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1603929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1184224966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13200 CROSSROADS PKWY N STE 335",
            "city": "CITY OF INDUSTRY",
            "state": "CA",
            "postal_code": "917463485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13200 CROSSROADS PKWY N STE 335",
            "city": "CITY OF INDUSTRY",
            "state": "CA",
            "postal_code": "917463485",
            "telephone_number": "562-821-1491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CATANZARO",
        "first_name": "LISA",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-29",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "122538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in City of Industry, CA

Sources for this page

Verify at the official NPI Registry.