Individual provider Active NPI

Mary Denise Ehret, LMFT

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1326516295
Registry record updated Nov 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT93383 Issued in CA
Practice address
11665 Avena PL Ste 206
San Diego, CA 92128-2428
Phone
(760) 807-9555
NPI assigned
Nov 8, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 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 LMFT93383 CA Primary

Addresses

Primary practice location

11665 Avena PL Ste 206
San Diego, CA 92128-2428

Mailing address

2042 Zlatibor Ranch Rd
Escondido, CA 92025-6738
Phone (760) 807-9555

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

LicenseStateTypeSpecialty
LMFT93383CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Denise Ehret Marriage and Family Therapy Inc Marriage & Family Therapist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1541635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541635200000",
    "number": "1326516295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2042 ZLATIBOR RANCH RD",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920256738",
            "telephone_number": "760-807-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11665 AVENA PL STE 206",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282428",
            "telephone_number": "760-807-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EHRET",
        "first_name": "MARY",
        "middle_name": "DENISE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-08",
        "last_updated": "2018-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT93383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.