Active NPI
Tracy Liljequist, MFT
- Marriage & Family Therapist
- National City, CA
National Provider Identifier
1760534853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC42206
- Practice address
- 2345 E 8TH St
Suite 103
National City, CA 91950-2800 - Phone
- (858) 354-5514
- Fax
- (619) 267-9307
- NPI assigned
- Jan 17, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | MFC42206 | CA | Primary |
Addresses
Primary practice location
2345 E 8TH St
Suite 103
National City, CA 91950-2800
Mailing address
12636 Sarsaparilla St
San Diego, CA 92129-3735
Phone (858) 354-5514
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 |
|---|---|---|---|
| MFC42206 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209168000000",
"number": "1760534853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12636 SARSAPARILLA ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921293735",
"telephone_number": "858-354-5514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2345 E 8TH ST",
"address_2": "SUITE 103",
"city": "NATIONAL CITY",
"state": "CA",
"postal_code": "919502800",
"telephone_number": "858-354-5514",
"fax_number": "619-267-9307"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LILJEQUIST",
"first_name": "TRACY",
"name_prefix": "Ms.",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-17",
"last_updated": "2008-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC42206",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in National City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.