Michelle Vanderjagt, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

119382 Issued in CA

Practice address

169 Saxony Rd Ste 111
Encinitas, CA 92024-6779

Phone

(760) 410-8096

NPI assigned

Nov 17, 2020

Last updated

Nov 17, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Resonate Individual and Family Therapy

  • Marriage & Family Therapist
  • Truckee, CA
  • NPI 1619613031
  NPD Authorized official
• Dina Ramaha Inc

  dba Consious Mind Therpay Institute

  • Clinical Social Worker
  • Walnut Creek, CA
  • NPI 1184295511
  NPD

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

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1447853080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 TUCANA DR",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920782827",
            "telephone_number": "925-658-8367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 SAXONY RD STE 111",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920246779",
            "telephone_number": "760-410-8096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERJAGT",
        "first_name": "MICHELLE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-17",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "119382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chad Michael Valderrama, M.D.
• Maria C Valle-Senteno
• Tomy Van
• Michael L. Vanbuskirk, M.D.
• Kathryn Ann Vancleave, FNP
• Caitlin Vanderlip, CCC-MA, SLP
• Nicole Vane, DMD
• Gary Vanetsky, PA-C
• Michael Vangilder, PT
• Sandra Lee Vangilder, PT

• Marriage & Family Therapist in Encinitas, CA
• Providers in Encinitas, 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 Nov 17, 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.