Lisa Marie Simmons-Slater, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC36871 Issued in CA

Practice address

3184 Old Tunnel Road, Suite a
Lafayette, CA 94549

Phone

(925) 395-1301

Fax

(925) 387-5154

NPI assigned

Sep 18, 2009

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1253232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1356675615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2419 DEER TREE COURT",
            "city": "MARTINEZ",
            "state": "CA",
            "postal_code": "94553",
            "telephone_number": "925-395-1303",
            "fax_number": "925-387-5154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3184 OLD TUNNEL ROAD, SUITE A",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "94549",
            "telephone_number": "925-395-1301",
            "fax_number": "925-387-5154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS-SLATER",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-18",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC36871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NON-MEDICARE",
            "identifier": "1356675615",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deb Shell, AMFT
• Emily Brooke Shenson, CD-L, CD-PIC
• Lynn Davilla Shields, PH.D.
• Nicole Jun Shimotake, ATC
• Thea Shukaliak Neufeld, OTR/L, OTD
• Christopher A Simmons, M.D.
• Sharlene Ann Simpson Foox, LCSW
• Karin L Simpson Schubert, PT
• Karanjeet Singh
• Marjorie Singler, L.AC., M.A.

• Marriage & Family Therapist in Lafayette, CA
• Providers in Lafayette, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.

Verify at the official NPI Registry.