Active NPI
Martha Lispier
- Marriage & Family Therapist
- Barstow, CA
National Provider Identifier
1336408079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 79059
- Practice address
- 425 S 2ND Ave # 579
Barstow, CA 92311-2891 - Phone
- (760) 957-7819
- Fax
- (760) 542-3114
- NPI assigned
- May 15, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | IMF69128 | CA | |
| Marriage & Family Therapist | 106H00000X | 79059 | CA | Primary |
Addresses
Primary practice location
425 S 2ND Ave # 579
Barstow, CA 92311-2891
Mailing address
PO Box 579
Barstow, CA 92312-0579
Phone (818) 415-8215
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 |
|---|---|---|---|
| IMF69128 | CA | MD | Mental Health Counselor |
| 79059 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barstow Healthy Lifestyle Consultation Inc | Current | Accepting new patients |
Locations
204 N 3rd Ave
Ste C
Barstow, CA 92311
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.
-
dba Barstow Psychotherapy
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Barstow, CA
- NPI 1376028993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771372800000",
"number": "1336408079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 579",
"city": "BARSTOW",
"state": "CA",
"postal_code": "923120579",
"telephone_number": "818-415-8215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 S 2ND AVE # 579",
"city": "BARSTOW",
"state": "CA",
"postal_code": "923112891",
"telephone_number": "760-957-7819",
"fax_number": "760-542-3114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LISPIER",
"first_name": "MARTHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-15",
"last_updated": "2026-02-18",
"certification_date": "2026-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "IMF69128",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "79059",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Barstow, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.