Active NPI
Marlisa Rader, LMFT
- Marriage & Family Therapist
- Gilbert, AZ
National Provider Identifier
1730867862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT-15810
- Practice address
- 2563 S Val Vista Dr Ste 101
Gilbert, AZ 85295-6231 - Phone
- (480) 573-0130
- NPI assigned
- Jul 10, 2023
- Sex
- Female
- Sole proprietor
- No
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 | LMFT-15810 | AZ | Primary |
Addresses
Primary practice location
2563 S Val Vista Dr Ste 101
Gilbert, AZ 85295-6231
Mailing address
2478 E Sierra Madre Ave
Gilbert, AZ 85296-1552
Phone (480) 269-3616
Other practice location 1
1720 E Boston St
Gilbert, AZ 85295-6226
Phone (480) 608-3239
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 |
|---|---|---|---|
| LMFT-15810 | AZ | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688947200000",
"number": "1730867862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2478 E SIERRA MADRE AVE",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852961552",
"telephone_number": "480-269-3616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2563 S VAL VISTA DR STE 101",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852956231",
"telephone_number": "480-573-0130"
}
],
"practiceLocations": [
{
"address_1": "1720 E Boston St",
"address_purpose": "LOCATION",
"city": "Gilbert",
"state": "AZ",
"postal_code": "852956226",
"country_code": "US",
"telephone_number": "480-608-3239",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RADER",
"first_name": "MARLISA",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-10",
"last_updated": "2023-07-10",
"certification_date": "2023-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "AZ",
"license": "LMFT-15810",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.