Individual provider Active NPI

Cayley Harrell, AMFT

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1669115135
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
AMFT132128 Issued in CA
Practice address
5820 Oberlin Dr Ste 112
San Diego, CA 92121-3743
Phone
(619) 549-0329
NPI assigned
Apr 13, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 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 AMFT132128 CA Primary

Addresses

Primary practice location

5820 Oberlin Dr Ste 112
San Diego, CA 92121-3743

Mailing address

8326 El Paseo Grande
La Jolla, CA 92037-3011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jun 1, 2026 through Jun 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AMFT132128CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Through Life Counseling, Inc. Marriage & Family Therapist CurrentSince Jun 12, 2022 Accepting new patients
Integrative Couples Therapy, a Family Therapy Professional Corporation Marriage & Family Therapist PastSince Apr 1, 2022 Accepting new patients

Locations

5820 Oberlin Dr
Ste 112
San Diego, CA 92121
Phone 61954903294

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1649808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1669115135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8326 EL PASEO GRANDE",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920373011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5820 OBERLIN DR STE 112",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213743",
            "telephone_number": "619-549-0329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRELL",
        "first_name": "CAYLEY",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-13",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT132128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.