Active NPI
Caron Elizabeth Trataris, LMFT
- Marriage & Family Therapist
- Brookfield, WI
National Provider Identifier
1356050223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 132339
- Practice address
- 280 N Market St Unit 515
Brookfield, WI 53045-3246 - Phone
- (626) 899-2450
- NPI assigned
- Nov 21, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 132339 | CA | Primary |
Addresses
Primary practice location
280 N Market St Unit 515
Brookfield, WI 53045-3246
Mailing address
24001 Calle Magdalena
#2344
Laguna Hills, CA 92654
Phone (424) 577-0217
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 |
|---|---|---|---|
| 132339 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724112000000",
"number": "1356050223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24001 CALLE MAGDALENA",
"address_2": "#2344",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "92654",
"telephone_number": "424-577-0217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 N MARKET ST UNIT 515",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530453246",
"telephone_number": "626-899-2450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRATARIS",
"first_name": "CARON",
"middle_name": "ELIZABETH",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-21",
"last_updated": "2024-08-20",
"certification_date": "2024-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "132339",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brookfield, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.