Individual provider Active NPI

Judith Angela Adams, MSED, LMFT

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1578174496
Registry record updated Aug 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
13970 Issued in CA
Practice address
5252 Balboa Ave Ste 604
San Diego, CA 92117-6933
Phone
(858) 333-6856
Fax
(858) 999-2014
NPI assigned
Aug 13, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2020

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 13970 CA Primary

Addresses

Primary practice location

5252 Balboa Ave Ste 604
San Diego, CA 92117-6933

Mailing address

2928 Lakeview Dr
Bullhead City, AZ 86429-6816
Phone (619) 540-4190

Other practice location 1

2928 Lakeview Dr
Bullhead City, AZ 86429-6816
Phone (619) 540-4190

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
I20240115001699 CA Practitioner - Marriage and Family Therapist 7911318225 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alo Ha Psychological Associates IncGroup PAC ID 3476783978, 12 clinicians

Practice addresses (Care Compare)

3517 Camino del Rio S
Suite 302
San Diego, CA 92108-4029
Phone (619) 996-3195

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13970CAMDMusic Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Zalewski-Zaragoza, MD, Inc PastSince Jan 2, 2024 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1597276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1578174496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2928 LAKEVIEW DR",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864296816",
            "telephone_number": "619-540-4190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5252 BALBOA AVE STE 604",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921176933",
            "telephone_number": "858-333-6856",
            "fax_number": "858-999-2014"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2928 Lakeview Dr",
            "address_purpose": "LOCATION",
            "city": "Bullhead City",
            "state": "AZ",
            "postal_code": "864296816",
            "country_code": "US",
            "telephone_number": "619-540-4190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "JUDITH",
        "middle_name": "ANGELA",
        "credential": "MSED, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-13",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "13970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.