Lawrence Zachary Siegler, MFT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MFT33068 Issued in CA

Practice address

10 Cottonwood LN
San Luis Obispo, CA 93405-7811

Phone

(805) 544-9129

Fax

(805) 544-9129

NPI assigned

Jul 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700804226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 COTTONWOOD LN",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934057811",
            "telephone_number": "805-544-9129",
            "fax_number": "805-544-9129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 COTTONWOOD LN",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934057811",
            "telephone_number": "805-544-9129",
            "fax_number": "805-544-9129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGLER",
        "first_name": "LAWRENCE",
        "middle_name": "ZACHARY",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "MFT33068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sierra Mental Wellness
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• Sierra Vista Hospital, Inc.
• Sierra Vista Hospital, Inc.
• Sierra Vista Medical Pavilion Ambulatory Surgery Suite

• Mental Health Counselor in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Mental Health Counselor in California

• 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.

Verify at the official NPI Registry.