Individual provider Active NPI

Ana-Lisa I.E. Bartelt, MA, MFT

  • Marriage & Family Therapist
  • Chula Vista, CA
National Provider Identifier
1396050787
Registry record updated Jul 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
104664 Issued in CA
Practice address
855 Bowsprit Rd
Chula Vista, CA 91914-4529
Phone
(808) 535-7600
Fax
(808) 535-7630
NPI assigned
Aug 10, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Marriage & Family Therapist 106H00000X 104664 CA Primary

Addresses

Primary practice location

855 Bowsprit Rd
Chula Vista, CA 91914-4529

Mailing address

3775 Wild Oats LN
Bonita, CA 91902-3059
Phone (808) 741-1019

Other names 1

  • Ms. Anna Bartelt Former name

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
104664CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1281398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594684800000",
    "number": "1396050787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3775 WILD OATS LN",
            "city": "BONITA",
            "state": "CA",
            "postal_code": "919023059",
            "telephone_number": "808-741-1019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 BOWSPRIT RD",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919144529",
            "telephone_number": "808-535-7600",
            "fax_number": "808-535-7630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTELT",
        "first_name": "ANA-LISA",
        "middle_name": "I.E.",
        "name_prefix": "Ms.",
        "credential": "MA, MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-10",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "104664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "BARTELT",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; 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.