Emily Eyerly, LMFT

Individual provider Active NPI Marriage & Family Therapist · Bonsall, CA

NPI 1205285145 · NPPES record last updated Jul 7, 2026

Key facts

NPI
1205285145
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
LMFT106319 (CA)
Practice address
31181 Old River Rd
Bonsall, CA 92003-5104
Phone
(442) 500-4419
NPI assigned
Jun 10, 2016
Sex
Female
Sole proprietor
Yes

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 and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Marriage and Family Therapist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sud Specialty Group - Ca (519 clinicians)

Practice addresses (Care Compare)

4633 Old Ironsides Dr
Suite 304
Santa Clara, CA 95054-1846
Phone (866) 280-0260

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20240320003627 CA Practitioner - Marriage and Family Therapist 1355788738 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
LMFT106319CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PC Marriage & Family Therapist Current
since Apr 2, 2025
Accepting new patients
Sage Individual and Marriage Counseling, Inc Marriage & Family Therapist Current
since Jun 29, 2025
Accepting new patients
Sud Specialty Group - Ca Marriage & Family Therapist Current
since Sep 26, 2025
Accepting new patients

Locations

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

5201 Great America Pkwy
Ste 320
Santa Clara, CA 95054
Phone (323) 968-6182

4633 Old Ironsides Dr
Ste 304
Santa Clara, CA 95054
Phone (501) 271-9428

520 Broadway
Ste 200
Santa Monica, CA 90401
Phone (949) 280-5295

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMFT106319 CA Yes

Addresses

Primary practice location

31181 Old River Rd
Bonsall, CA 92003-5104

Mailing address

31181 Old River Rd
Bonsall, CA 92003-5104
Phone (442) 500-4419

Other providers in Bonsall, CA

All providers in Bonsall, CA · Marriage & Family Therapist in California

Sources for this page

Verify at the official NPI Registry.