Michele Silva, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

133657 Issued in CA

Practice address

405 W Pine St
Lodi, CA 95240-2023

Phone

(209) 339-1616

NPI assigned

Oct 4, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 17, 2025 through Apr 17, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• One Eighty Programs

  • Marriage & Family Therapist
  • Lodi, CA
  • NPI 1790461804
  NPD
• First Baptist Church of Lodi

  • Community/Behavioral Health Agency
  • Lodi, CA
  • NPI 1326536632

  Marriage & Family Therapist

  NPD (past)

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

{
    "created_epoch": "1696377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1245010412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 W LOCKEFORD ST",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952402125",
            "telephone_number": "209-339-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 W PINE ST",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952402023",
            "telephone_number": "209-339-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVA",
        "first_name": "MICHELE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-04",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "133657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronda Lynn Shoemaker, LCSW
• Rajeev Shukla, MD
• Richard Allen Siegfried, DC
• Gary J Silva, DDS
• Kimberly Ann Silva
• Sarah Silva, C.M.T
• Rolando G Simeon, MD
• Larry James Simpfenderfer, O.D.
• Charles Michael Simpson, RPH
• Emily Simpson, MS, RDN

• Marriage & Family Therapist in Lodi, CA
• Providers in Lodi, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.