Individual provider Active NPI

Isa Reser

  • Marriage & Family Therapist
  • Santa Cruz, CA
National Provider Identifier
1790059228
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
102667 Issued in CA
Practice address
545 Ocean View Ave
Santa Cruz, CA 95062-3363
Phone
(831) 439-2174
NPI assigned
Mar 1, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PCI 229 CA
Marriage & Family Therapist 106H00000X MFT INTERN 74665 CA
Marriage & Family Therapist 106H00000X 102667 CA Primary

Addresses

Primary practice location

545 Ocean View Ave
Santa Cruz, CA 95062-3363

Mailing address

545 Ocean View Ave
Santa Cruz, CA 95062-3363
Phone (831) 439-2174

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PCI 229CAMDProfessional Counselor
102667CAMDClinical Social Worker
MFT INTERN 74665CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Heart Therapy Center a Psychotherapy Corporation Marriage & Family Therapist CurrentSince Jan 21, 2024 Accepting new patients

Locations

545 Ocean View Ave
Santa Cruz, CA 95062
Phone (831) 439-2174

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1330560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1790059228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 OCEAN VIEW AVE",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950623363",
            "telephone_number": "831-439-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 OCEAN VIEW AVE",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950623363",
            "telephone_number": "831-439-2174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESER",
        "first_name": "ISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-01",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "PCI 229",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT INTERN 74665",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "102667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

Verify at the official NPI Registry.