Active NPI
Elaina Lease
- Marriage & Family Therapist
- Santa Cruz, CA
National Provider Identifier
1659763886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 83903
- Practice address
- 1119 Pacific Ave Ste 200
Santa Cruz, CA 95060-4464 - Phone
- (831) 426-5550
- Fax
- (831) 425-0106
- NPI assigned
- Feb 25, 2015
- Last updated
- Feb 25, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 83903 | CA | Primary |
Addresses
Primary practice location
1119 Pacific Ave Ste 200
Santa Cruz, CA 95060-4464
Mailing address
1691 The Alameda
San Jose, CA 95126-2203
Phone (408) 795-3619
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
| License | State | Type | Specialty |
|---|---|---|---|
| 83903 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424822400000",
"number": "1659763886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1691 THE ALAMEDA",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951262203",
"telephone_number": "408-795-3619",
"fax_number": "408-287-0405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1119 PACIFIC AVE STE 200",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950604464",
"telephone_number": "831-426-5550",
"fax_number": "831-425-0106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEASE",
"first_name": "ELAINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-25",
"last_updated": "2015-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "83903",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Cruz, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.