Individual provider Active NPI

Elizabeth Marie Walker

  • Marriage & Family Therapist
  • Ukiah, CA
National Provider Identifier
1497200950
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
131464 Issued in CA
Practice address
290 E Gobbi St
Ukiah, CA 95482-5559
Phone
(707) 463-3300
Fax
(707) 463-3318
NPI assigned
Aug 24, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Marriage & Family Therapist 106H00000X 131464 CA Primary

Addresses

Primary practice location

290 E Gobbi St
Ukiah, CA 95482-5559

Mailing address

563 Lilac Ave
Boulder Creek, CA 95006-9703
Phone (831) 854-3271

Other practice location 1

2280 Diamond Blvd
suite 500
Concord, CA 94605-9460
Phone (925) 483-2223

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240528001417 CA Practitioner - Marriage and Family Therapist 2163863325 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Forward Wellness Family Therapy, Inc. CurrentSince Mar 14, 2025 Accepting new patients
Thriveworks Clinical - California PC CurrentSince May 7, 2024 Accepting new patients

Locations

1041 E Yorba Linda Blvd
Ste 202
Placentia, CA 92870
Phone (714) 579-0717

815 Hyde St
Ste 301
San Francisco, CA 94109
Phone (415) 292-5477

2025 Forest Ave
Ste 5
San Jose, CA 95128
Phone (209) 689-2669

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1471996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1497200950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "563 LILAC AVE",
            "city": "BOULDER CREEK",
            "state": "CA",
            "postal_code": "950069703",
            "telephone_number": "831-854-3271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 E GOBBI ST",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954825559",
            "telephone_number": "707-463-3300",
            "fax_number": "707-463-3318"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2280 Diamond Blvd",
            "address_2": "suite 500",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "CA",
            "postal_code": "946059460",
            "country_code": "US",
            "telephone_number": "925-483-2223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKER",
        "first_name": "ELIZABETH",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-24",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "131464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ukiah, CA

Sources for this page

Verify at the official NPI Registry.