Elisabeth C Box, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

119471 Issued in CA

Practice address

1631 Kirby Way
Nipomo, CA 93444-9678

Phone

(805) 266-8001

NPI assigned

Feb 26, 2007

Last updated

Aug 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jonah's House

  • Marriage & Family Therapist
  • Arroyo Grande, CA
  • NPI 1184354342
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661040000000",
    "number": "1700912466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S MARY AVE STE 2",
            "address_2": "PMB 122",
            "city": "NIPOMO",
            "state": "CA",
            "postal_code": "934448750",
            "telephone_number": "805-266-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 KIRBY WAY",
            "city": "NIPOMO",
            "state": "CA",
            "postal_code": "934449678",
            "telephone_number": "805-266-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOX",
        "first_name": "ELISABETH",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2022-08-21",
        "certification_date": "2022-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "119471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tammy L Bonenfant
• Jennifer Bonino
• Kassandra Boortz, LMFT #105335
• Kenton Bosch, DDS
• Kari Marie Bowron
• Joni Kaye Brewer
• Kerren D Brown, OTR
• Brooks Burnsed, D.D.S.
• Donald Edward Casebolt, NURSE PRACTITIONER
• Riley Cash

• Marriage & Family Therapist in Nipomo, CA
• Providers in Nipomo, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.