Allison Renee Patch, LMFT 95402

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT95402 Issued in CA

Practice address

16885 W Bernardo Dr Ste 122
San Diego, CA 92127-1619

Phone

(424) 543-4942

NPI assigned

Jan 13, 2012

Sex

Female

Sole proprietor

Yes

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.

• Patch Family Counseling, Inc.

  • Mental Health Counselor
  • San Diego, CA
  • NPI 1275249039
  NPD Authorized official

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

{
    "created_epoch": "1326412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524009600000",
    "number": "1487925046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16885 W BERNARDO DR STE 122",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921271619",
            "telephone_number": "424-543-4942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16885 W BERNARDO DR STE 122",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921271619",
            "telephone_number": "424-543-4942"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2535 Camino Del Rio S Ste 230",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921083795",
            "country_code": "US",
            "telephone_number": "424-543-1820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATCH",
        "first_name": "ALLISON",
        "middle_name": "RENEE",
        "credential": "LMFT 95402",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-13",
        "last_updated": "2018-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT95402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmen Pat, LMFT
• Amy Maylanee Patamakomol
• Tracy Patay, NP
• Patch Family Counseling, Inc.
• Allan Kent Patch, DMD
• Warren Patch, D.C.
• Christian P Patchin, IDC
• Deborah Pate, DC
• Megan Pate
• Michael William Pate

• Marriage & Family Therapist in San Diego, CA
• Providers in San Diego, 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 Apr 18, 2018; 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.