Active NPI
Molly Meadows
- Marriage & Family Therapist
- Santa Cruz, CA
National Provider Identifier
1275163677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 125071
- Practice address
- 380 Encinal St Ste 200
Santa Cruz, CA 95060-2178 - Phone
- (831) 469-1700
- NPI assigned
- Jan 24, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Marriage & Family Therapist | 106H00000X | 125071 | CA | Primary |
Addresses
Primary practice location
380 Encinal St Ste 200
Santa Cruz, CA 95060-2178
Mailing address
380 Encinal St Ste 200
Santa Cruz, CA 95060-2178
Phone (831) 469-1700
Other practice location 1
5455 Almira Dr NE
Bremerton, WA 98311-8330
Phone (360) 373-5031 ext. 5804
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125071 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617235200000",
"number": "1275163677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "380 ENCINAL ST STE 200",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950602178",
"telephone_number": "831-469-1700",
"fax_number": "831-425-1905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "380 ENCINAL ST STE 200",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950602178",
"telephone_number": "831-469-1700"
}
],
"practiceLocations": [
{
"address_1": "5455 Almira Dr NE",
"address_purpose": "LOCATION",
"city": "Bremerton",
"state": "WA",
"postal_code": "983118330",
"country_code": "US",
"telephone_number": "360-373-5031 x5804",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEADOWS",
"first_name": "MOLLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-24",
"last_updated": "2021-04-01",
"certification_date": "2021-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "125071",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Cruz, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.