Individual provider Active NPI

Lynda Martin, LMFT

  • Marriage & Family Therapist
  • San Bernardino, CA
National Provider Identifier
1548495195
Registry record updated Jun 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT81068 Issued in CA
Practice address
255 N D St Ste 300
San Bernardino, CA 92401-1714
Phone
(909) 493-0404
NPI assigned
May 27, 2009
Last updated
Jun 17, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2019

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 LMFT81068 CA Primary

Addresses

Primary practice location

255 N D St Ste 300
San Bernardino, CA 92401-1714

Mailing address

255 N. D St, Ste 300
San Bernardino, CA 92401-1735
Phone (909) 493-0404

Other identifiers 1

IdentifierTypeStateIssuer
11491948MedicaidCA

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
I20260121003519 CA Practitioner - Marriage and Family Therapist 4183100746 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10640 Woodbridge St
Unit PH5
Toluca Lake, CA 91602-2938

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMFT81068CAMDMarriage & Family Therapist
81068CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Plan B Marriage and Family Therapy, Prof. Corp. Marriage & Family Therapist CurrentSince Dec 23, 2025 Accepting new patients

Locations

255 N D St
Ste 300
San Bernardino, CA 92401
Phone (909) 493-0404

Organizations & group practices 1

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": "1243382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560729600000",
    "number": "1548495195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 N. D ST, STE 300",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924011735",
            "telephone_number": "909-493-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 N D ST STE 300",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924011714",
            "telephone_number": "909-493-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "LYNDA",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-27",
        "last_updated": "2019-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT81068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11491948",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

Verify at the official NPI Registry.