Judy Wahl Talley, M.A., L.M.F.T.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT109568 Issued in CA

Practice address

100 E San Marcos Blvd Ste 400
San Marcos, CA 92069-2988

Phone

(760) 731-6250

Fax

(866) 561-3747

NPI assigned

Jul 15, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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.

• Community Research Foundation Inc

  • Community/Behavioral Health Agency
  • Escondido, CA
  • NPI 1659895340
  NPD (past)

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621036800000",
    "number": "1528084993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E SAN MARCOS BLVD STE 400",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920692988",
            "telephone_number": "760-731-6250",
            "fax_number": "866-561-3747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E SAN MARCOS BLVD STE 400",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920692988",
            "telephone_number": "760-731-6250",
            "fax_number": "866-561-3747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19915 Fortuna Del Este",
            "address_purpose": "LOCATION",
            "city": "Escondido",
            "state": "CA",
            "postal_code": "920295917",
            "country_code": "US",
            "telephone_number": "760-290-4794",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "337 W Mission Ave",
            "address_purpose": "LOCATION",
            "city": "Escondido",
            "state": "CA",
            "postal_code": "920251729",
            "country_code": "US",
            "telephone_number": "760-745-0281",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAHL TALLEY",
        "first_name": "JUDY",
        "credential": "M.A., L.M.F.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-15",
        "last_updated": "2021-05-15",
        "certification_date": "2021-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "T1026",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT109568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in San Marcos, CA
• Providers in San Marcos, 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 May 15, 2021; 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.