Individual provider Active NPI

Gregory Ian Buttner, LMFT 138273

  • Marriage & Family Therapist
  • Carlsbad, CA
National Provider Identifier
1588397459
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
138273 Issued in CA
Practice address
4995 Crestview Dr
Carlsbad, CA 92008-3795
Phone
(760) 498-8859
NPI assigned
Jul 7, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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 138273 CA Primary

Addresses

Primary practice location

4995 Crestview Dr
Carlsbad, CA 92008-3795

Mailing address

4995 Crestview Dr
Carlsbad, CA 92008-3795
Phone (760) 498-8859

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

State licenses

LicenseStateTypeSpecialty
138273CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1657152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1588397459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4995 CRESTVIEW DR",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920083795",
            "telephone_number": "760-498-8859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4995 CRESTVIEW DR",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920083795",
            "telephone_number": "760-498-8859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTTNER",
        "first_name": "GREGORY",
        "middle_name": "IAN",
        "credential": "LMFT 138273",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-07",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "138273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; 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.