Audra Megan Marvin, LMFT # 104738

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

104738 Issued in CA

Practice address

4055 Tambor Rd
San Diego, CA 92124-2723

Phone

(858) 232-1882

NPI assigned

Sep 8, 2014

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

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

{
    "created_epoch": "1410134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766880000000",
    "number": "1497156517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4055 TAMBOR RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921242723",
            "telephone_number": "858-232-1882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4055 TAMBOR RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921242723",
            "telephone_number": "858-232-1882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARVIN",
        "first_name": "AUDRA",
        "middle_name": "MEGAN",
        "name_prefix": "Mrs.",
        "credential": "LMFT # 104738",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-08",
        "last_updated": "2025-12-28",
        "certification_date": "2025-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "104738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Rose Martz, MA
• Lily Anna Marucci, DMD
• Jazmin Marucut, PT, DPT
• Chiara Maruggi
• Selene E. Marvel, RN
• Brittany Marvin, PT
• Jim Neil Calbid Marvin
• Mark W. Marvin, PH.D.
• Eliana Marvizon, AU.D.
• Dhruv Marwha, MD

• 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 Dec 28, 2025; 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.