Individual provider Active NPI

Sally Lawrence, MFT

  • Marriage & Family Therapist
  • Santa Clara, CA
National Provider Identifier
1457503153
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT38458 Issued in CA
Practice address
1588 Homestead Rd # MB10
Santa Clara, CA 95050-4783
Phone
(408) 774-1009
Fax
(408) 249-2291
NPI assigned
Oct 14, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMFT38458 CA Primary
Case Manager/Care Coordinator 171M00000X MFC 38458 CA

Addresses

Primary practice location

1588 Homestead Rd # MB10
Santa Clara, CA 95050-4783

Mailing address

1588 Homestead Rd # MB10
Santa Clara, CA 95050-4783
Phone (408) 774-1009

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

State licenses

LicenseStateTypeSpecialty
LMFT38458CAMDMarriage & Family Therapist
MFC 38458CAMDCase Manager/Care Coordinator

Practice roles

OrganizationSpecialtyStatusNew patients
Healthright 360 Case Manager/Care Coordinator Past Accepting new patients
Peace-It-Together PastSince Jun 11, 2023 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1223942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1457503153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1588 HOMESTEAD RD # MB10",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950504783",
            "telephone_number": "408-774-1009",
            "fax_number": "408-249-2291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1588 HOMESTEAD RD # MB10",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950504783",
            "telephone_number": "408-774-1009",
            "fax_number": "408-249-2291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "SALLY",
        "name_prefix": "Ms.",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-14",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT38458",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "CA",
            "license": "MFC 38458",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; 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.