Individual provider Active NPI

Bradley Chet Lovegren, LMFT

  • Marriage & Family Therapist
  • Los Gatos, CA
National Provider Identifier
1235979592
Registry record updated May 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
131517 Issued in CA
Practice address
15047 Los Gatos Blvd Ste 200
Los Gatos, CA 95032-2054
Phone
(408) 364-6799
NPI assigned
May 24, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2024

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 131517 CA Primary

Addresses

Primary practice location

15047 Los Gatos Blvd Ste 200
Los Gatos, CA 95032-2054

Mailing address

665 Roble Ave Apt K
Menlo Park, CA 94025-4821
Phone (650) 387-8111

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
I20250807000666 CA Practitioner - Marriage and Family Therapist 8921506262 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
131517CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Pain Management Medical Group, Inc. CurrentSince Jun 23, 2025 Accepting new patients

Locations

15047 Los Gatos Blvd
Ste 200
Los Gatos, CA 95032
Phone (408) 364-6799

7907 Ostrow St
Ste F
San Diego, CA 92111
Phone (858) 300-8282

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.

NPI Registry JSON

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

{
    "created_epoch": "1716508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716508800000",
    "number": "1235979592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 ROBLE AVE APT K",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254821",
            "telephone_number": "650-387-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15047 LOS GATOS BLVD STE 200",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322054",
            "telephone_number": "408-364-6799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVEGREN",
        "first_name": "BRADLEY",
        "middle_name": "CHET",
        "name_prefix": "Mr.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-24",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "131517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

Verify at the official NPI Registry.