Organization Active NPI

Annabelle Drda Marriage and Family Therapy Inc

  • Mental Health Counselor
  • Santa Cruz, CA
National Provider Identifier
1568286284
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ANNABELLE DRDA MARRIAGE AND FAMILY THERAPY INC
Practice address
550 Water St Ste F2
Santa Cruz, CA 95060-4131
Phone
(831) 708-1176
NPI assigned
Nov 9, 2024
Last updated
Nov 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Authorized official

Name
Annabelle Drda, LMFTNPI 1659827293
Title
President
Phone
(831) 708-1176

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

550 Water St Ste F2
Santa Cruz, CA 95060-4131

Mailing address

550 Water St Ste F2
Santa Cruz, CA 95060-4131
Phone (831) 708-1176

National Provider Directory

National Provider Directory

Locations

550 Water St
Ste F2
Santa Cruz, CA 95060
Phone (831) 427-0239

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1731110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731456000000",
    "number": "1568286284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 WATER ST STE F2",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950604131",
            "telephone_number": "831-708-1176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 WATER ST STE F2",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950604131",
            "telephone_number": "831-708-1176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNABELLE DRDA MARRIAGE AND FAMILY THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-09",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A",
        "authorized_official_last_name": "DRDA",
        "authorized_official_first_name": "ANNABELLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "831-708-1176",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; 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.