Individual provider Active NPI

Lynn G. Marie, M.A. CLINICAL PSYCH.

  • Marriage & Family Therapist
  • Grover Beach, CA
National Provider Identifier
1558430967
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC35677 Issued in CA
Practice address
150 B So. 6TH St.
Suite B
Grover Beach, CA 93433
Phone
(805) 547-5738
Fax
(805) 481-6316
NPI assigned
Nov 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 MFC35677 CA Primary

Addresses

Primary practice location

150 B So. 6TH St.
Suite B
Grover Beach, CA 93433

Mailing address

105 N Lincoln St
Santa Maria, CA 93458-4319
Phone (805) 928-1707

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MFC35677CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558430967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 N LINCOLN ST",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934584319",
            "telephone_number": "805-928-1707",
            "fax_number": "805-922-4797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 B SO. 6TH ST.",
            "address_2": "SUITE B",
            "city": "GROVER BEACH",
            "state": "CA",
            "postal_code": "93433",
            "telephone_number": "805-547-5738",
            "fax_number": "805-481-6316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIE",
        "first_name": "LYNN",
        "middle_name": "G.",
        "name_prefix": "Ms.",
        "credential": "M.A. CLINICAL PSYCH.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC35677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grover Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.