Active NPI
Mary G Holbrook, M.F.T.
- Marriage & Family Therapist
- Eureka, CA
National Provider Identifier
1356498398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT34771
- Practice address
- 837 3Rd St
Eureka, CA 95501-0511 - Phone
- (707) 223-6279
- Fax
- (707) 443-3204
- NPI assigned
- Jan 4, 2007
- 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 | LMFT34771 | CA | Primary |
Addresses
Primary practice location
837 3Rd St
Eureka, CA 95501-0511
Mailing address
PO Box 6860
Eureka, CA 95502-6860
Phone (707) 223-6279
Other practice location 1
2200 Tydd St
Eureka, CA 95501-1284
Phone (707) 441-1624
Other practice location 2
428 C St Ste F
Eureka, CA 95501
Phone (707) 223-6279
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 |
|---|---|---|---|
| LMFT34771 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557360000000",
"number": "1356498398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6860",
"city": "EUREKA",
"state": "CA",
"postal_code": "955026860",
"telephone_number": "707-223-6279",
"fax_number": "707-443-3204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "837 3RD ST",
"city": "EUREKA",
"state": "CA",
"postal_code": "955010511",
"telephone_number": "707-223-6279",
"fax_number": "707-443-3204"
}
],
"practiceLocations": [
{
"address_1": "2200 Tydd St",
"address_purpose": "LOCATION",
"city": "Eureka",
"state": "CA",
"postal_code": "955011284",
"country_code": "US",
"telephone_number": "707-441-1624",
"fax_number": "707-441-1253",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "428 C St Ste F",
"address_purpose": "LOCATION",
"city": "Eureka",
"state": "CA",
"postal_code": "95501",
"country_code": "US",
"telephone_number": "707-223-6279",
"fax_number": "707-443-3204",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOLBROOK",
"first_name": "MARY",
"middle_name": "G",
"name_prefix": "Ms.",
"credential": "M.F.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-04",
"last_updated": "2019-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT34771",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eureka, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.