Individual provider Active NPI

Elizabeth A Perkins, LMFT

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1518274174
Registry record updated Aug 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
53764 Issued in CA
Practice address
3333 Camino del Rio S Ste 215
San Diego, CA 92108-3837
Phone
(619) 471-1887
Fax
(619) 363-4350
NPI assigned
Sep 2, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 53764 CA Primary

Addresses

Primary practice location

3333 Camino del Rio S Ste 215
San Diego, CA 92108-3837

Mailing address

3333 Camino del Rio S Ste 215
San Diego, CA 92108-3837
Phone (415) 272-7836

Other practice location 1

3575 Kenyon St
Suite 102
San Diego, CA 92110-5333
Phone (619) 600-0683

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address liz@elizabethperkinstherapy.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
53764CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabeth Perkins LMFT a Marriage and Family Therapy Corporation Marriage & Family Therapist Current Accepting new patients
The Family Guidance & Therapy Center of Southern California Marriage & Family Therapist Past Accepting new patients
One Day Tomorrow, Inc Marriage & Family Therapist Past Accepting new patients

Locations

3333 Camino del Rio S
Ste 215
San Diego, CA 92108
Phone (619) 471-1887

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1283385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1518274174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 CAMINO DEL RIO S STE 215",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083837",
            "telephone_number": "415-272-7836",
            "fax_number": "619-363-4650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 CAMINO DEL RIO S STE 215",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083837",
            "telephone_number": "619-471-1887",
            "fax_number": "619-363-4350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3575 Kenyon St",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921105333",
            "country_code": "US",
            "telephone_number": "619-600-0683",
            "fax_number": "619-600-0683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-02",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "53764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "liz@elizabethperkinstherapy.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3333 Camino Del Rio S Ste 215",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921083837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; 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.