NPIMap

Organization Active NPI

Center for Enriching Relationships, Inc

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1457591364
Registry record updated Nov 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
#LMFT50129 Issued in CA
Legal business name
CENTER FOR ENRICHING RELATIONSHIPS, INC
Practice address
4025 Camino del Rio S Ste 250
San Diego, CA 92108-4100
Phone
(619) 858-3105
Fax
(619) 280-5420
NPI assigned
Mar 5, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2020

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

Authorized official

Name
Donald Welch, PH.D.NPI 1093885956
Title
Director
Phone
(619) 858-3105

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)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X #LMFT50129 CA Primary

Addresses

Primary practice location

4025 Camino del Rio S Ste 250
San Diego, CA 92108-4100

Mailing address

4025 Camino del Rio S Ste 250
San Diego, CA 92108-4100
Phone (619) 858-3105

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170418002354 CA Part B Supplier - Clinic/Group Practice 0143506667 Receives reassigned benefits from 11 practitioners
Practice locations: San Diego, CA

National Provider Directory

National Provider Directory

Locations

4025 Camino del Rio S
Ste 250A
San Diego, CA 92108
Phone (619) 858-3105

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1236211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604275200000",
    "number": "1457591364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4025 CAMINO DEL RIO S STE 250",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084100",
            "telephone_number": "619-858-3105",
            "fax_number": "619-280-5420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4025 CAMINO DEL RIO S STE 250",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084100",
            "telephone_number": "619-858-3105",
            "fax_number": "619-280-5420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR ENRICHING RELATIONSHIPS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-05",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A",
        "authorized_official_last_name": "WELCH",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "619-858-3105",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "#LMFT50129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.