Active NPI
Audrey Rose Majerczak, MS
- Marriage & Family Therapist
- Lafayette, CA
National Provider Identifier
1487207916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 114402
- Practice address
- 3470 Mt Diablo Blvd Ste B200
Lafayette, CA 94549-7195 - Phone
- (925) 298-2541
- NPI assigned
- Jul 23, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 114402 | CA | Primary |
Addresses
Primary practice location
3470 Mt Diablo Blvd Ste B200
Lafayette, CA 94549-7195
Mailing address
3470 Mt Diablo Blvd Ste B200
Lafayette, CA 94549-7195
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 114402 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563840000000",
"number": "1487207916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3470 MT DIABLO BLVD STE B200",
"city": "LAFAYETTE",
"state": "CA",
"postal_code": "945497195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3470 MT DIABLO BLVD STE B200",
"city": "LAFAYETTE",
"state": "CA",
"postal_code": "945497195",
"telephone_number": "925-298-2541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAJERCZAK",
"first_name": "AUDREY",
"middle_name": "ROSE",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-23",
"last_updated": "2019-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "114402",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lafayette, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.