Individual provider Active NPI

Linda Kay Willemse, LMFT, RN, PHN

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1699327411
Registry record updated Oct 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
50653 Issued in CA
Practice address
15677 Avenida Alcachofa #B
San Diego, CA 92128-4452
Phone
(909) 496-4900
NPI assigned
Jul 11, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X 50653 CA Primary

Addresses

Primary practice location

15677 Avenida Alcachofa #B
San Diego, CA 92128-4452

Mailing address

15677 Avenida Alcachofa #B
San Diego, CA 92128-4452
Phone (909) 496-4900

Other practice location 1

5055 El Roble Rd.
Ukiah, CA 95482-9548
Phone (909) 496-4900

Other names 1

  • Miss Linda Kay Schultz Former name

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
Credentials
Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1562803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602115200000",
    "number": "1699327411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15677 AVENIDA ALCACHOFA #B",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921284452",
            "telephone_number": "909-496-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15677 AVENIDA ALCACHOFA #B",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921284452",
            "telephone_number": "909-496-4900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5055 El Roble Rd.",
            "address_purpose": "LOCATION",
            "city": "Ukiah",
            "state": "CA",
            "postal_code": "954829548",
            "country_code": "US",
            "telephone_number": "909-496-4900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLEMSE",
        "first_name": "LINDA",
        "middle_name": "KAY",
        "name_prefix": "Miss",
        "credential": "LMFT, RN, PHN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-11",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "50653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "SCHULTZ",
            "middle_name": "KAY",
            "prefix": "MISS",
            "credential": "LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Oct 8, 2020; 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.