Elisa Pederson Stouras, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC37166 Issued in CA

Practice address

555 Soquel Avenue
Suite 260
Santa Cruz, CA 95062

Phone

(831) 426-0111

NPI assigned

May 8, 2007

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

Other identifiers 2

Other names 1

• Ms. Elisa Ruth Pederson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487867289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 SOQUEL AVENUE",
            "address_2": "SUITE 260",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "95062",
            "telephone_number": "831-426-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 SOQUEL AVENUE",
            "address_2": "SUITE 260",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "95062",
            "telephone_number": "831-426-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOURAS",
        "first_name": "ELISA",
        "middle_name": "PEDERSON",
        "name_prefix": "Ms.",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC37166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARRIAGE & FAMILY THERAPI",
            "identifier": "MFC37166",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA DRIVER'S LICENSE",
            "identifier": "CA N5003586",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELISA",
            "last_name": "PEDERSON",
            "middle_name": "RUTH",
            "prefix": "MS.",
            "credential": "MFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stacey Stone
• Elena Marie Storer, PHD, MFT
• Chris A Storms, MS
• Margie L Storms, PH.D, CCS
• Kyle Ethan Stoughton
• Ruby Straehley, PT
• Hayley Marie Strand
• Scott Conway Stratford
• James Anthony Straubinger, M.S.
• Sarah Straus

• Marriage & Family Therapist in Santa Cruz, CA
• Providers in Santa Cruz, 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 Jul 8, 2007; 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.