Individual provider Active NPI

Emily Godzak

  • Marriage & Family Therapist
  • Oceanside, CA
National Provider Identifier
1265011951
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
155614 Issued in CA
Practice address
2124 S El Camino Real Ste 101
Oceanside, CA 92054-6211
Phone
(888) 688-0248
NPI assigned
Apr 7, 2021
Last updated
Jul 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X
Marriage & Family Therapist 106H00000X 155614 CA Primary

Addresses

Primary practice location

2124 S El Camino Real Ste 101
Oceanside, CA 92054-6211

Mailing address

1895 Avenida del Oro
PO Box 4753
Oceanside, CA 92056-5800

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
I20250729003217 CA Practitioner - Marriage and Family Therapist 5799292264 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Forward Wellness Family Therapy, Inc. CurrentSince Nov 12, 2025 Accepting new patients
Fusion Care Group, a Psychological Professional Corporation CurrentSince Jul 1, 2025 Accepting new patients
Stepping Stone of San Diego, Inc. PastSince Apr 1, 2021 Accepting new patients

Locations

2271 Alpine Blvd
Ste A
Alpine, CA 91901
Phone (619) 289-7322

2124 S El Camino Real
Ste 101
Oceanside, CA 92054
Phone (760) 405-4787

1041 E Yorba Linda Blvd
Ste 202
Placentia, CA 92870
Phone (714) 579-0717

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1265011951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1895 AVENIDA DEL ORO",
            "address_2": "PO BOX 4753",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920565800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2124 S EL CAMINO REAL STE 101",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920546211",
            "telephone_number": "888-688-0248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODZAK",
        "first_name": "EMILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-07",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "155614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

Verify at the official NPI Registry.