Individual provider Active NPI

Elizabeth Arlyn Osborne, LMFT

  • Marriage & Family Therapist
  • Santa Cruz, CA
National Provider Identifier
1629617345
Registry record updated Feb 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
109608 Issued in CA
Practice address
1805 Angela Dr
Santa Cruz, CA 95065-1625
Phone
(209) 431-9227
NPI assigned
Dec 27, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2022

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 109608 CA Primary

Addresses

Primary practice location

1805 Angela Dr
Santa Cruz, CA 95065-1625

Mailing address

PO Box 1488
Jamestown, CA 95327-1488
Phone (209) 431-9227

Other practice location 1

9860 Pulpit Rock Rd
Jamestown, CA 95327-9643
Phone (209) 431-9227

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 12, 2025 through Dec 12, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
109608CAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1577404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645228800000",
    "number": "1629617345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1488",
            "city": "JAMESTOWN",
            "state": "CA",
            "postal_code": "953271488",
            "telephone_number": "209-431-9227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 ANGELA DR",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950651625",
            "telephone_number": "209-431-9227"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9860 Pulpit Rock Rd",
            "address_purpose": "LOCATION",
            "city": "Jamestown",
            "state": "CA",
            "postal_code": "953279643",
            "country_code": "US",
            "telephone_number": "209-431-9227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSBORNE",
        "first_name": "ELIZABETH",
        "middle_name": "ARLYN",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-27",
        "last_updated": "2022-02-19",
        "certification_date": "2022-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "109608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

Verify at the official NPI Registry.