Individual provider Active NPI

Mary Grace Loar, MFT

  • Marriage & Family Therapist
  • Hemet, CA
National Provider Identifier
1871668897
Registry record updated Dec 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
45331 Issued in CA
Practice address
41591 East Florida Avenue, Suite D
Hemet, CA 92544-4883
Phone
(951) 206-4559
Fax
(951) 444-6153
NPI assigned
Nov 22, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2018

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 45331 CA Primary

Addresses

Primary practice location

41591 East Florida Avenue, Suite D
Hemet, CA 92544-4883

Mailing address

41591 East Florida Avenue, Suite D
Hemet, CA 92544-4883
Phone (951) 206-4559

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Grace Loar, Marriage and Family Therapist, Inc. Marriage & Family Therapist 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544572800000",
    "number": "1871668897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41591 EAST FLORIDA AVENUE, SUITE D",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925444883",
            "telephone_number": "951-206-4559",
            "fax_number": "951-444-6153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41591 EAST FLORIDA AVENUE, SUITE D",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925444883",
            "telephone_number": "951-206-4559",
            "fax_number": "951-444-6153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOAR",
        "first_name": "MARY",
        "middle_name": "GRACE",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-22",
        "last_updated": "2018-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "45331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hemet, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2018; 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.