Organization Active NPI

Innerlight Psychotherapy

  • Marriage & Family Therapist
  • Watsonville, CA
National Provider Identifier
1497551626
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
INNERLIGHT PSYCHOTHERAPY
Practice address
77 Aspen Way Ste 103
Watsonville, CA 95076-6040
Phone
(831) 750-8915
NPI assigned
Feb 19, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Authorized official

Name
Gisselle Padilla-Johnson, LMFT
Title
Owner
Phone
(831) 750-8915

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

77 Aspen Way Ste 103
Watsonville, CA 95076-6040

Mailing address

77 Aspen Way Ste 103
Watsonville, CA 95076-6040
Phone (831) 750-8915

National Provider Directory

National Provider Directory

Locations

77 Aspen Way
Ste 103
Watsonville, CA 95076
Phone (831) 688-2433

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1739923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740614400000",
    "number": "1497551626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 ASPEN WAY STE 103",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950766040",
            "telephone_number": "831-750-8915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 ASPEN WAY STE 103",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950766040",
            "telephone_number": "831-750-8915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNERLIGHT PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-19",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A",
        "authorized_official_last_name": "PADILLA-JOHNSON",
        "authorized_official_first_name": "GISSELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "831-750-8915",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watsonville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.