Individual provider Active NPI

Susan Elizabeth Wrenn

  • Marriage & Family Therapist
  • San Marcos, CA
National Provider Identifier
1710679170
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
149464 Issued in CA
Practice address
334 Via Vera Cruz Ste 259
San Marcos, CA 92078-2643
Phone
(760) 707-6765
NPI assigned
May 24, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 149464 CA Primary

Addresses

Primary practice location

334 Via Vera Cruz Ste 259
San Marcos, CA 92078-2643

Mailing address

7095 Leeward St
Carlsbad, CA 92011-5431
Phone (760) 815-7920

Other practice location 1

321 Cassidy St
Oceanside, CA 92054-5314
Phone (760) 721-2171

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

LicenseStateTypeSpecialty
149464CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Research Foundation Inc PastSince May 1, 2023 Accepting new patients
Community Research Foundation Inc Case Manager/Care Coordinator PastSince May 1, 2023 Accepting new patients
Megan B. Lewis, Psy.D., a California Psychology Corporation PastSince Sep 15, 2024 Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1684886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1710679170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7095 LEEWARD ST",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920115431",
            "telephone_number": "760-815-7920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 VIA VERA CRUZ STE 259",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920782643",
            "telephone_number": "760-707-6765"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "321 Cassidy St",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "CA",
            "postal_code": "920545314",
            "country_code": "US",
            "telephone_number": "760-721-2171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WRENN",
        "first_name": "SUSAN",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-24",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "149464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; 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.