Organization Active NPI

Lisa Connely LMFT

  • Marriage & Family Therapist
  • San Luis Obispo, CA
National Provider Identifier
1215314711
Registry record updated May 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT82950 Issued in CA
Legal business name
LISA CONNELY LMFT
Practice address
569 Higuera St Ste D
San Luis Obispo, CA 93401-3861
Phone
(805) 550-2918
NPI assigned
May 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2015

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

Authorized official

Name
Lisa Connely, MS,LMFT
Title
Marriage and Family Therapist
Phone
(805) 550-2918

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X LMFT82950 CA Primary

Addresses

Primary practice location

569 Higuera St Ste D
San Luis Obispo, CA 93401-3861

Mailing address

569 Higuera St Ste D
San Luis Obispo, CA 93401-3861
Phone (805) 550-2918

National Provider Directory

National Provider Directory

Locations

569 Higuera St
Ste D
San Luis Obispo, CA 93401
Phone (805) 541-0553

NPI Registry JSON

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

{
    "created_epoch": "1430697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430697600000",
    "number": "1215314711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "569 HIGUERA ST STE D",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934013861",
            "telephone_number": "805-550-2918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "569 HIGUERA ST STE D",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934013861",
            "telephone_number": "805-550-2918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA CONNELY LMFT",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-04",
        "last_updated": "2015-05-04",
        "status": "A",
        "authorized_official_last_name": "CONNELY",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "MARRIAGE AND FAMILY THERAPIST",
        "authorized_official_telephone_number": "805-550-2918",
        "authorized_official_credential": "MS,LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT82950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2015; 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.