Individual provider Active NPI

Christine Lang, MFT

  • Marriage & Family Therapist
  • Santa Cruz, CA
National Provider Identifier
1487867065
Registry record updated Oct 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC53769 Issued in CA
Practice address
100 Doyle St
Suite E
Santa Cruz, CA 95062-2129
Phone
(831) 234-1411
Fax
(831) 426-1189
NPI assigned
May 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC53769 CA Primary

Addresses

Primary practice location

100 Doyle St
Suite E
Santa Cruz, CA 95062-2129

Mailing address

100 Doyle St
Suite E
Santa Cruz, CA 95062-2129
Phone (831) 234-1411

Other identifiers 1

IdentifierTypeStateIssuer
53769OtherCAPSYCHOTHERAPY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective May 12, 2025 through May 12, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MFC53769CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382054400000",
    "number": "1487867065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 DOYLE ST",
            "address_2": "SUITE E",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950622129",
            "telephone_number": "831-234-1411",
            "fax_number": "831-426-1189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 DOYLE ST",
            "address_2": "SUITE E",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950622129",
            "telephone_number": "831-234-1411",
            "fax_number": "831-426-1189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANG",
        "first_name": "CHRISTINE",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2013-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC53769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOTHERAPY",
            "identifier": "53769",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

Verify at the official NPI Registry.