Individual provider Active NPI

Teresa Louise Noordmans, LMFT

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1629368436
Registry record updated Apr 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
28625 Issued in CA
Practice address
4998 Via Valarta
San Diego, CA 92124-1591
Phone
(858) 874-7888
Fax
(858) 874-8588
NPI assigned
Apr 13, 2011
Last updated
Apr 13, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2011

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 28625 CA Primary

Addresses

Primary practice location

4998 Via Valarta
San Diego, CA 92124-1591

Mailing address

12845 Sundance Ave
San Diego, CA 92129-2217
Phone (858) 231-7392

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
28625CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1302652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302652800000",
    "number": "1629368436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12845 SUNDANCE AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921292217",
            "telephone_number": "858-231-7392",
            "fax_number": "858-874-8588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4998 VIA VALARTA",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921241591",
            "telephone_number": "858-874-7888",
            "fax_number": "858-874-8588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOORDMANS",
        "first_name": "TERESA",
        "middle_name": "LOUISE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-13",
        "last_updated": "2011-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "28625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; 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.