Individual provider Active NPI

Cara Stearns Entz, MFT, BCBA

  • Behavior Analyst
  • Pasadena, CA
National Provider Identifier
1477889095
Registry record updated Jan 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-07-3509
Practice address
200 E del Mar Blvd Ste 112
Pasadena, CA 91105-2552
Phone
(818) 521-0114
NPI assigned
Nov 2, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 0116211 NM
Marriage & Family Therapist 106H00000X MFC 32183 CA
Behavior Analyst 103K00000X 1-07-3509 Primary

Addresses

Primary practice location

200 E del Mar Blvd Ste 112
Pasadena, CA 91105-2552

Mailing address

200 E del Mar Blvd Ste 112
Pasadena, CA 91105-2552
Phone (818) 937-0882

Other identifiers 2

IdentifierTypeStateIssuer
88578755MedicaidNM
GR8889095MedicaidCA

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
MFC 32183CAMDMarriage & Family Therapist
0116211NMMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Inizio Interventions, Inc. Behavior Analyst Current Accepting new patients

Locations

4515 Ocean View Blvd
Ste 320
La Canada Flintridge, CA 91011
Phone (818) 937-0882

200 E Del Mar Blvd
Ste 112
Pasadena, CA 91105
Phone (626) 564-2700

Organizations & group practices 1

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": "1257120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1477889095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E DEL MAR BLVD STE 112",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052552",
            "telephone_number": "818-937-0882",
            "fax_number": "818-937-0883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E DEL MAR BLVD STE 112",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052552",
            "telephone_number": "818-521-0114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEARNS ENTZ",
        "first_name": "CARA",
        "credential": "MFT, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-02",
        "last_updated": "2023-01-18",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NM",
            "license": "0116211",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 32183",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-07-3509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "88578755",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR8889095",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.