Audrey Elizabeth Lee, LMFT 112672

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

112672 Issued in CA

Practice address

825 San Antonio Rd Ste 102
Palo Alto, CA 94303-4620

Phone

(415) 734-0138

NPI assigned

Jul 29, 2019

Last updated

Jul 29, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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

{
    "created_epoch": "1564358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564358400000",
    "number": "1558915447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3328 ADELAIDE WAY",
            "city": "BELMONT",
            "state": "CA",
            "postal_code": "940021224",
            "telephone_number": "415-734-0138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 SAN ANTONIO RD STE 102",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943034620",
            "telephone_number": "415-734-0138"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Sanchez St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941143825",
            "country_code": "US",
            "telephone_number": "415-734-0138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "AUDREY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "LMFT 112672",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-29",
        "last_updated": "2019-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "112672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrienne Dawn Lee, OD
• Alvis Lee, DO
• Angela Lee
• Annette Victoria Lee, PHARMD
• Anson Michael Lee, M.D.
• Brian S. Lee, M.D.
• Byrne Lee, MD
• Byron Kwock Lee, MD
• Caroline J Lee, PHARM.D
• Casy Lee

• Marriage & Family Therapist in Palo Alto, CA
• Providers in Palo Alto, 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 Jul 29, 2019; 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.