Individual provider Active NPI

Eli Benjamin Recht, AMFT

  • Marriage & Family Therapist
  • Encinitas, CA
National Provider Identifier
1396308227
Registry record updated Sep 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
AMFT126044 Issued in CA
Practice address
285 N El Camino Real Ste 218
Encinitas, CA 92024-5385
Phone
(619) 330-9500
NPI assigned
Apr 16, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Marriage & Family Therapist 106H00000X AMFT126044 CA Primary

Addresses

Primary practice location

285 N El Camino Real Ste 218
Encinitas, CA 92024-5385

Mailing address

285 N El Camino Real Ste 218
Encinitas, CA 92024-5385
Phone (619) 330-9500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AMFT126044CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1555372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1396308227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 N EL CAMINO REAL STE 218",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920245385",
            "telephone_number": "619-330-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 N EL CAMINO REAL STE 218",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920245385",
            "telephone_number": "619-330-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RECHT",
        "first_name": "ELI",
        "middle_name": "BENJAMIN",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-16",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT126044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

Verify at the official NPI Registry.