Ivy Erickson, MFTI

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

94992 MFTI Issued in CA

Practice address

1400 N Norma St
Suite 127-133
Ridgecrest, CA 93555-2575

Phone

(760) 499-7406

Fax

(760) 499-9259

NPI assigned

Oct 9, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• College Community Services

  • Community/Behavioral Health Agency
  • Ridgecrest, CA
  • NPI 1225241417
  NPD (past)

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

{
    "created_epoch": "1444348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479859200000",
    "number": "1477924934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 N NORMA ST",
            "address_2": "SUITE 127-133",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935552575",
            "telephone_number": "760-499-7406",
            "fax_number": "760-499-9259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N NORMA ST",
            "address_2": "SUITE 127-133",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935552575",
            "telephone_number": "760-499-7406",
            "fax_number": "760-499-9259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "IVY",
        "credential": "MFTI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-09",
        "last_updated": "2016-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "94992 MFTI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karisma Ederlyn Agustin Ebora
• Joseph Terminel Edwards, MD
• Elizabeth Corrine Moss-Hunter Family Therapy Inc.
• Tericka Ellison
• Empower Counseling Services
• Deborah M Ernst, LCSW
• Danielle Escoto Carrillo
• Arvin Nino Salangsang Espiritu
• Jennifer J Essex, L.AC.
• Julene Opalene Evans Murage, MD

• Marriage & Family Therapist in Ridgecrest, CA
• Providers in Ridgecrest, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2016; 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.