Active NPI
Christy Anne George, LMFT
- Marriage & Family Therapist
- San Diego, CA
National Provider Identifier
1760788673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 85531
- Practice address
- 11858 Bernardo Plaza CT
210
San Diego, CA 92128-2439 - Phone
- (760) 410-8186
- Fax
- (858) 592-1495
- NPI assigned
- Feb 10, 2011
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Marriage & Family Therapist | 106H00000X | 69438 | CA | |
| Marriage & Family Therapist | 106H00000X | 85531 | CA | Primary |
Addresses
Primary practice location
11858 Bernardo Plaza CT
210
San Diego, CA 92128-2439
Mailing address
11858 Bernardo Plaza CT
210
San Diego, CA 92128-2439
Phone (760) 410-8186
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 |
|---|---|---|---|
| 85531 | CA | MD | Social Worker |
| 69438 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474156800000",
"number": "1760788673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11858 BERNARDO PLAZA CT",
"address_2": "210",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921282439",
"telephone_number": "760-410-8186",
"fax_number": "858-592-1495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11858 BERNARDO PLAZA CT",
"address_2": "210",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921282439",
"telephone_number": "760-410-8186",
"fax_number": "858-592-1495"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEORGE",
"first_name": "CHRISTY",
"middle_name": "ANNE",
"name_prefix": "Ms.",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-10",
"last_updated": "2016-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "69438",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "85531",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.