Individual provider Active NPI

Loretta Ferris, LMFT

  • Marriage & Family Therapist
  • Capitola, CA
National Provider Identifier
1356572366
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
21098 Issued in CA
Practice address
519 Capitola Ave Ste C
Capitola, CA 95010-2794
Phone
(831) 345-9591
NPI assigned
Aug 7, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2024

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 21098 CA Primary

Addresses

Primary practice location

519 Capitola Ave Ste C
Capitola, CA 95010-2794

Mailing address

519 Capitola Ave Ste C
Capitola, CA 95010-2794
Phone (831) 345-9591

Other practice location 1

21985 SW Sherwood Blvd Apt 24
Sherwood, OR 97140-9383
Phone (831) 345-9591

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240617001655 CA Practitioner - Marriage and Family Therapist 0042753261 Practice locations: Capitola, CA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

519 Capitola Ave
Suite C
Capitola, CA 95010-2794
Phone (831) 345-9591

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21098CAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1249603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1356572366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 CAPITOLA AVE STE C",
            "city": "CAPITOLA",
            "state": "CA",
            "postal_code": "950102794",
            "telephone_number": "831-345-9591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 CAPITOLA AVE STE C",
            "city": "CAPITOLA",
            "state": "CA",
            "postal_code": "950102794",
            "telephone_number": "831-345-9591"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21985 SW Sherwood Blvd Apt 24",
            "address_purpose": "LOCATION",
            "city": "Sherwood",
            "state": "OR",
            "postal_code": "971409383",
            "country_code": "US",
            "telephone_number": "831-345-9591",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERRIS",
        "first_name": "LORETTA",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-07",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "21098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Capitola, CA

Sources for this page

Verify at the official NPI Registry.