Active NPI
Laura B. Colligan, MFT
- Marriage & Family Therapist
- San Diego, CA
National Provider Identifier
1699801365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFT 22823
- Practice address
- 3320 Kemper St Ste 206
San Diego, CA 92110-4905 - Phone
- (619) 758-6226
- Fax
- (619) 758-6255
- NPI assigned
- Feb 26, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | MFT 22823 | CA | Primary |
Addresses
Primary practice location
3320 Kemper St Ste 206
San Diego, CA 92110-4905
Mailing address
3320 Kemper St Ste 206
San Diego, CA 92110-4905
Phone (619) 758-6226
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MFT 22823 | Other | CA | MARRIAGE, FAMILY THERAPIS |
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 |
|---|---|---|---|
| MFT 22823 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1699801365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3320 KEMPER ST STE 206",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921104905",
"telephone_number": "619-758-6226",
"fax_number": "619-758-6255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3320 KEMPER ST STE 206",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921104905",
"telephone_number": "619-758-6226",
"fax_number": "619-758-6255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLIGAN",
"first_name": "LAURA",
"middle_name": "B.",
"name_prefix": "Ms.",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFT 22823",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MARRIAGE, FAMILY THERAPIS",
"identifier": "MFT 22823",
"state": "CA"
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.