Individual provider Active NPI

Martha Holland Thorson, D.MIN., M.A.

  • Marriage & Family Therapist
  • Redlands, CA
National Provider Identifier
1336359629
Registry record updated Aug 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
65386 Issued in CA
Practice address
51 W Olive Ave
Redlands, CA 92373-5243
Phone
(909) 793-1078
NPI assigned
May 23, 2007
Last updated
Aug 3, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2011

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 65386 CA Primary
Pastoral Counselor 101YP1600X 12051 CA

Addresses

Primary practice location

51 W Olive Ave
Redlands, CA 92373-5243

Mailing address

965 Lexington St
Hemet, CA 92545-5332
Phone (951) 259-8573

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 10, 2024 through Jan 10, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312329600000",
    "number": "1336359629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 LEXINGTON ST",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925455332",
            "telephone_number": "951-259-8573",
            "fax_number": "951-766-4574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 W OLIVE AVE",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923735243",
            "telephone_number": "909-793-1078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORSON",
        "first_name": "MARTHA",
        "middle_name": "HOLLAND",
        "name_prefix": "Dr.",
        "credential": "D.MIN., M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2011-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "65386",
            "primary": true
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "CA",
            "license": "12051",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

Verify at the official NPI Registry.