Elizabeth Soderlund

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

124 Carmen LN Ste a
Santa Maria, CA 93458-7768

Phone

(805) 348-1850

NPI assigned

May 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Santa Barbara County Auditor

  • Federally Qualified Health Center (FQHC)
  • Lompoc, CA
  • NPI 1649096249
  NPD (past)
• Telecare Corporation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Santa Maria, CA
  • NPI 1316192149
  NPD (past)

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

{
    "created_epoch": "1683158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1245929223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 CARMEN LN STE A",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934587768",
            "telephone_number": "805-348-1850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 CARMEN LN STE A",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934587768",
            "telephone_number": "805-348-1850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SODERLUND",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-04",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TELECARE SANTA MARIA ACT",
            "identifier": "1316192149",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Smooth, Inc.
• Inglyand Snell-Anderson
• Social Advocates for Youth - Santa Maria, Inc.
• Social Advocates for Youth - Santa Maria, Inc.
• Kenneth M Soda
• Sojourn Services Inc
• Aira Solis
• Violeta Chavez Solis
• Gabriel Anthony Solla, LCSW
• Armando Manuel Soltero

• Marriage & Family Therapist in Santa Maria, CA
• Providers in Santa Maria, 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 Sep 25, 2023; 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.