Erica Lindstrom-Dake

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

IMF98626 Issued in CA

Practice address

2460 W 3Rd St Ste 230
Santa Rosa, CA 95401-6411

Phone

(707) 477-1724

NPI assigned

Apr 20, 2015

Last updated

Jan 9, 2018By the provider in NPPES

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 Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1429488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515456000000",
    "number": "1245627041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1083 VINE ST # 519",
            "city": "HEALDSBURG",
            "state": "CA",
            "postal_code": "954484830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 W 3RD ST STE 230",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954016411",
            "telephone_number": "707-477-1724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDSTROM-DAKE",
        "first_name": "ERICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-20",
        "last_updated": "2018-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF98626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Towle Psychiatric Mental Health Nursing Services PMH-NP Inc (Linda Towle Mental Health Services)
• Kyle San Chun Lindauer I, NONE
• Wendy Lindberg
• Jennifer Linderoth
• Rhonda Lee Lindsey, PSY.D.
• Jennifer Lynn Line
• Michelle Linquist, PSY.D.
• Mary Linscomb, LCSW
• Erwin Linzner, D.C.
• Daniel K Lionett

• Marriage & Family Therapist in Santa Rosa, CA
• Providers in Santa Rosa, 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 Jan 9, 2018; 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.