Laurie Anne Tague, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

48881 Issued in CA

Practice address

14 Casino Rd
Marblehead, MA 01945-2823

Phone

(714) 343-8894

NPI assigned

Oct 4, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1477649192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26741 PORTOLA PKWY STE 1E",
            "city": "FOOTHILL RANCH",
            "state": "CA",
            "postal_code": "926101763",
            "telephone_number": "714-343-8894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 CASINO RD",
            "city": "MARBLEHEAD",
            "state": "MA",
            "postal_code": "019452823",
            "telephone_number": "714-343-8894"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17837 Santa Fe Cir",
            "address_purpose": "LOCATION",
            "city": "Fountain Valley",
            "state": "CA",
            "postal_code": "927085021",
            "country_code": "US",
            "telephone_number": "714-343-8894",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAGUE",
        "first_name": "LAURIE",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF 40998",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "48881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Stelk, LICSW
• Elliot Marvin Strasnick, PHARMACIST
• Stride Physical Therapy and Wellness
• Christine Sullivan, LCSW
• Susan Blatt Summers, MS, CCC-SLP
• David S Tamaren, M.D.
• Keith E Taylor, OD
• Sara Beth Thatcher, PT
• The Power of Speech, Inc.
• Timothy J Curtin DMD PC (Marblehead Smile Design and Family Dental)

• Marriage & Family Therapist in Marblehead, MA
• Providers in Marblehead, MA by specialty
• Marriage & Family Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.