Individual provider Active NPI

Katrina Marie Zeljak, LMFT99775

  • Marriage & Family Therapist
  • Carlsbad, CA
National Provider Identifier
1881123800
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT99775 Issued in CA
Practice address
6994 El Camino Real Ste 205B
Carlsbad, CA 92009-4153
Phone
(760) 815-2525
Fax
(760) 931-9333
NPI assigned
Jun 5, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 LMFT99775 CA Primary

Addresses

Primary practice location

6994 El Camino Real Ste 205B
Carlsbad, CA 92009-4153

Mailing address

6994 El Camino Real Ste 205B
Carlsbad, CA 92009-4153
Phone (760) 815-2525

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
LMFT99775CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1496620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1881123800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6994 EL CAMINO REAL STE 205B",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920094153",
            "telephone_number": "760-815-2525",
            "fax_number": "760-931-9333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6994 EL CAMINO REAL STE 205B",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920094153",
            "telephone_number": "760-815-2525",
            "fax_number": "760-931-9333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZELJAK",
        "first_name": "KATRINA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LMFT99775",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-05",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT99775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.