Individual provider Active NPI

Elizabeth Nicole Price, MFT

  • Marriage & Family Therapist
  • Santa Rosa, CA
National Provider Identifier
1316463243
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
93487 Issued in CA
Practice address
718 Spring St
Santa Rosa, CA 95404-3902
Phone
(707) 595-0535
NPI assigned
Aug 22, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 93487 CA Primary

Addresses

Primary practice location

718 Spring St
Santa Rosa, CA 95404-3902

Mailing address

1585 Terrace Way # 508
Santa Rosa, CA 95404-3066
Phone (707) 595-0535

Other practice location 1

1023 4th St Ste G
Santa Rosa, CA 95404-4301
Phone (707) 595-0535

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

NPI Registry JSON

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

{
    "created_epoch": "1503360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1316463243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1585 TERRACE WAY # 508",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954043066",
            "telephone_number": "707-595-0535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 SPRING ST",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954043902",
            "telephone_number": "707-595-0535"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1023 4th St Ste G",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954044301",
            "country_code": "US",
            "telephone_number": "707-595-0535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRICE",
        "first_name": "ELIZABETH",
        "middle_name": "NICOLE",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-22",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "93487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.