Active NPI
Marypaz Garrdea, LMFT
- Professional Counselor
- San Diego, CA
National Provider Identifier
1669725412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LMFT111811
- Practice address
- 8755 Aero Dr
San Diego, CA 92123-1776 - Phone
- (858) 565-4148
- NPI assigned
- Oct 17, 2012
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LMFT111811 | CA | Primary |
Addresses
Primary practice location
8755 Aero Dr
San Diego, CA 92123-1776
Mailing address
8755 Aero Dr
San Diego, CA 92123-1776
Phone (858) 565-4148
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 |
|---|---|---|---|
| LMFT111811 | CA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575849600000",
"number": "1669725412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8755 AERO DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921231776",
"telephone_number": "858-565-4148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8755 AERO DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921231776",
"telephone_number": "858-565-4148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARRDEA",
"first_name": "MARYPAZ",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-17",
"last_updated": "2019-12-09",
"certification_date": "2019-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "LMFT111811",
"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 Dec 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.