Active NPI
Rachel Lyn Lee, IMF #95848
- Marriage & Family Therapist
- Lemon Grove, CA
National Provider Identifier
1194251702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- IMF # 95848
- Practice address
- 2049 Skyline Dr
Lemon Grove, CA 91945-4221 - Phone
- (619) 465-7303
- Fax
- (619) 466-4672
- NPI assigned
- May 3, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | IMF # 95848 | CA | Primary |
Addresses
Primary practice location
2049 Skyline Dr
Lemon Grove, CA 91945-4221
Mailing address
1400 N Johnson Ave Ste 101
El Cajon, CA 92020-1651
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
| License | State | Type | Specialty |
|---|---|---|---|
| IMF # 95848 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aloha Spirit Therapy | Current | Accepting new patients |
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.
-
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- Solana Beach, CA
- NPI 1376134247
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493769600000",
"number": "1194251702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 N JOHNSON AVE STE 101",
"city": "EL CAJON",
"state": "CA",
"postal_code": "920201651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2049 SKYLINE DR",
"city": "LEMON GROVE",
"state": "CA",
"postal_code": "919454221",
"telephone_number": "619-465-7303",
"fax_number": "619-466-4672"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "RACHEL",
"middle_name": "LYN",
"name_prefix": "Ms.",
"credential": "IMF #95848",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-05-03",
"last_updated": "2017-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "IMF # 95848",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lemon Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.