Individual provider Active NPI

Delise Edwards Lawson, AMFT

  • Marriage & Family Therapist
  • Palm Desert, CA
National Provider Identifier
1871903237
Registry record updated Nov 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
135361 Issued in CA
Practice address
75105 Merle Dr
Palm Desert, CA 92211-5212
Phone
(209) 405-1716
NPI assigned
May 6, 2014
Last updated
Nov 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 96104 CA
Marriage & Family Therapist 106H00000X 135361 CA Primary

Addresses

Primary practice location

75105 Merle Dr
Palm Desert, CA 92211-5212

Mailing address

75105 Merle Dr
Palm Desert, CA 92211-5212
Phone (209) 405-1716

Other practice location 1

1884 River Dr
Stockton, CA 95204-1739
Phone (209) 405-1716

Other practice location 2

127 N Sutter St
Stockton, CA 95202-2412
Phone (209) 464-4524

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dlawson@nochildabuse.org Other

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

LicenseStateTypeSpecialty
135361CAMDMarriage & Family Therapist
96104CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1399334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667952000000",
    "number": "1871903237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75105 MERLE DR",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922115212",
            "telephone_number": "209-405-1716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75105 MERLE DR",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922115212",
            "telephone_number": "209-405-1716"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1884 River Dr",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "CA",
            "postal_code": "952041739",
            "country_code": "US",
            "telephone_number": "209-405-1716",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "127 N Sutter St",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "CA",
            "postal_code": "952022412",
            "country_code": "US",
            "telephone_number": "209-464-4524",
            "fax_number": "209-227-7255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDWARDS LAWSON",
        "first_name": "DELISE",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-06",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "96104",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "135361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dlawson@nochildabuse.org",
            "affiliation": "N",
            "endpointDescription": "Secure email account",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Direct Email",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "attached documents",
            "address_1": "127 N Sutter St",
            "city": "Stockton",
            "state": "CA",
            "country_code": "US",
            "postal_code": "952022412",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Palm Desert, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; 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.