Individual provider Active NPI

Susan Kay Pease, LMFT

  • Marriage & Family Therapist
  • Castro Valley, CA
National Provider Identifier
1396003786
Registry record updated Apr 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 51073 Issued in CA
Practice address
20253 Redwood Rd
Ste a
Castro Valley, CA 94546-4331
Phone
(510) 247-9831
Fax
(510) 247-9825
NPI assigned
Apr 24, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2012

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 MFC 51073 CA Primary

Addresses

Primary practice location

20253 Redwood Rd
Ste a
Castro Valley, CA 94546-4331

Mailing address

3443 Lenard Dr
Castro Valley, CA 94546-3338
Phone (510) 331-1551

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Previously, effective Aug 6, 2024 through Aug 6, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MFC 51073CAMDMarriage & Family Therapist
51073CAMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Eden Counseling Services Marriage & Family Therapist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1335225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335225600000",
    "number": "1396003786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3443 LENARD DR",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945463338",
            "telephone_number": "510-331-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20253 REDWOOD RD",
            "address_2": "STE A",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945464331",
            "telephone_number": "510-247-9831",
            "fax_number": "510-247-9825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEASE",
        "first_name": "SUSAN",
        "middle_name": "KAY",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-24",
        "last_updated": "2012-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 51073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castro Valley, CA

Sources for this page

Verify at the official NPI Registry.