Active NPI
Loren Joan Farber, MFT
- Marriage & Family Therapist
- Eureka, CA
National Provider Identifier
1457412322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC40705
- Practice address
- 3172 Walford Ave Ste 3
Eureka, CA 95503 - Phone
- (707) 498-9651
- Fax
- (707) 443-3204
- NPI assigned
- Dec 13, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC40705 | CA | Primary |
Addresses
Primary practice location
3172 Walford Ave Ste 3
Eureka, CA 95503
Mailing address
PO Box 6860
Eureka, CA 95502-6860
Phone (707) 498-9651
Other practice location 1
514 H St
suite 304
Eureka, CA 95501-1038
Phone (707) 442-2752
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240111001826 | CA | Practitioner - Other (Non-Physician) | 1951752260 | Practice locations: Eureka, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Undefined Non-Physician Type (Specify)
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
3172 Walford Ave
Suite 3
Eureka, CA 95503-4898
Phone (707) 498-9651
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC40705 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532304000000",
"number": "1457412322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6860",
"city": "EUREKA",
"state": "CA",
"postal_code": "955026860",
"telephone_number": "707-498-9651",
"fax_number": "707-498-9651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3172 WALFORD AVE STE 3",
"city": "EUREKA",
"state": "CA",
"postal_code": "95503",
"telephone_number": "707-498-9651",
"fax_number": "707-443-3204"
}
],
"practiceLocations": [
{
"address_1": "514 H St",
"address_2": "suite 304",
"address_purpose": "LOCATION",
"city": "Eureka",
"state": "CA",
"postal_code": "955011038",
"country_code": "US",
"telephone_number": "707-442-2752",
"fax_number": "707-442-2752",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FARBER",
"first_name": "LOREN",
"middle_name": "JOAN",
"name_prefix": "Ms.",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-13",
"last_updated": "2018-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC40705",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eureka, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.