Individual provider Active NPI

Andrea Gayle Wuethrich, LMFT

  • Marriage & Family Therapist
  • San Marcos, CA
National Provider Identifier
1730461179
Registry record updated Sep 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MHC 31957 Issued in CA
Practice address
340 Rancheros Dr Ste 298
San Marcos, CA 92069-2981
Phone
(760) 752-4920
Fax
(760) 752-4924
NPI assigned
Sep 12, 2011
Last updated
Sep 12, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2011

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 MHC 31957 CA Primary

Addresses

Primary practice location

340 Rancheros Dr Ste 298
San Marcos, CA 92069-2981

Mailing address

340 Rancheros Dr Ste 298
San Marcos, CA 92069-2981
Phone (760) 752-4920

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
MHC 31957CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Special Education Services Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1315785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315785600000",
    "number": "1730461179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 RANCHEROS DR STE 298",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920692981",
            "telephone_number": "760-752-4920",
            "fax_number": "760-752-4924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 RANCHEROS DR STE 298",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920692981",
            "telephone_number": "760-752-4920",
            "fax_number": "760-752-4924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WUETHRICH",
        "first_name": "ANDREA",
        "middle_name": "GAYLE",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-12",
        "last_updated": "2011-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MHC 31957",
            "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 12, 2011; 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.