Active NPI
Date With Intention, Inc.
- Marriage & Family Therapist
- Santa Cruz, CA
National Provider Identifier
1396456463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Legal business name
- DATE WITH INTENTION, INC.
- Practice address
- 555 Soquel Ave Ste 260
Santa Cruz, CA 95062-2340 - Phone
- (831) 252-0900
- Fax
- (877) 878-2808
- NPI assigned
- Dec 9, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marisa Abzug, MFT, CPC
- Title
- Ceo
- Phone
- (831) 252-0900
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
555 Soquel Ave Ste 260
Santa Cruz, CA 95062-2340
Mailing address
555 Soquel Ave Ste 260
Santa Cruz, CA 95062-2340
Phone (831) 252-0900
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | marisa@balancemft.com | Direct |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- Santa Cruz, CA
- NPI 1871616383
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670544000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1670544000000",
"number": "1396456463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 SOQUEL AVE STE 260",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950622340",
"telephone_number": "831-252-0900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 SOQUEL AVE STE 260",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950622340",
"telephone_number": "831-252-0900",
"fax_number": "877-878-2808"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DATE WITH INTENTION, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2022-12-09",
"last_updated": "2022-12-09",
"certification_date": "2022-12-09",
"status": "A",
"authorized_official_last_name": "ABZUG",
"authorized_official_first_name": "MARISA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "831-252-0900",
"authorized_official_credential": "MFT, CPC"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "marisa@balancemft.com",
"affiliation": "N",
"endpointDescription": "Business email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Business Email",
"address_1": "555 Soquel Ave Ste 260",
"city": "Santa Cruz",
"state": "CA",
"country_code": "US",
"postal_code": "950622340",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Santa Cruz, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.