Heather Elizabeth Pederson, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

3356 2ND Ave Ste E
San Diego, CA 92103-5636

Phone

(858) 522-0179

NPI assigned

Jul 26, 2017

Sex

Female

Sole proprietor

No

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

Opted out of Medicare

Yes, effective Jan 9, 2024 through Jan 9, 2028

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Pederson Marriage and Family Therapy Inc

  • Marriage & Family Therapist
  • San Diego, CA
  • NPI 1023867488
  NPD

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

{
    "created_epoch": "1501027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1609390160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3356 2ND AVE STE E",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921035636",
            "telephone_number": "858-522-0179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3356 2ND AVE STE E",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921035636",
            "telephone_number": "858-522-0179"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11665 Avena Pl Ste 206",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921282428",
            "country_code": "US",
            "telephone_number": "858-522-0179",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEDERSON",
        "first_name": "HEATHER",
        "middle_name": "ELIZABETH",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-26",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Lea Peddicord, CADC-II
• Alexandra K Pedersen
• Pederson Marriage and Family Therapy Inc
• Aron Pederson
• Carol Pederson, LCSW
• Julia Pederson, DNP
• Thomas Gregg Pederson, MD
• Kathryn Marie Pedgrift, PSY.D.
• Pediatric Cardiology of San Diego
• Pediatric Neurology Therapeutics

• Marriage & Family Therapist in San Diego, CA
• Providers in San Diego, 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 Mar 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.