Individual provider Active NPI

Nathaniel Stee Lindborg, LMFT

  • Marriage & Family Therapist
  • La Jolla, CA
National Provider Identifier
1336972298
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
147175 Issued in CA
Practice address
7817 Herschel Ave # 101-102
La Jolla, CA 92037-4454
Phone
(858) 295-1815
NPI assigned
Aug 24, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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 147175 CA Primary

Addresses

Primary practice location

7817 Herschel Ave # 101-102
La Jolla, CA 92037-4454

Mailing address

7817 Herschel Ave # 101-102
La Jolla, CA 92037-4454
Phone (858) 295-1815

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
147175CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1724457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1336972298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7817 HERSCHEL AVE # 101-102",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920374454",
            "telephone_number": "858-295-1815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7817 HERSCHEL AVE # 101-102",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920374454",
            "telephone_number": "858-295-1815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDBORG",
        "first_name": "NATHANIEL",
        "middle_name": "STEE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-24",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "147175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; 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.