Active NPI
Lee E Geldmacher, LMFT
- Marriage & Family Therapist
- Prescott, AZ
National Provider Identifier
1477797504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT15206
- Practice address
- 510 E. Moeller St.
Prescott, AZ 86301 - Phone
- (702) 335-2306
- Fax
- (702) 947-7224
- NPI assigned
- Apr 20, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | M10126 | NV | |
| Marriage & Family Therapist | 106H00000X | LMFT15206 | AZ | Primary |
Addresses
Primary practice location
510 E. Moeller St.
Prescott, AZ 86301
Mailing address
5228 Scenic Crest Way
Prescott, AZ 86301
Phone (702) 335-2306
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 9, 2024 through Mar 9, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT15206 | AZ | MD | Marriage & Family Therapist |
| M10126 | NV | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519776000000",
"number": "1477797504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5228 SCENIC CREST WAY",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "86301",
"telephone_number": "702-335-2306",
"fax_number": "702-947-7224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 E. MOELLER ST.",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "86301",
"telephone_number": "702-335-2306",
"fax_number": "702-947-7224"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GELDMACHER",
"first_name": "LEE",
"middle_name": "E",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-04-20",
"last_updated": "2018-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NV",
"license": "M10126",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "AZ",
"license": "LMFT15206",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prescott, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.