Individual provider Active NPI

Lindsay Noelle Maisey, LMFT

  • Marriage & Family Therapist
  • Vista, CA
National Provider Identifier
1881349652
Registry record updated Feb 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
115407 Issued in CA
Practice address
2405 N Santa Fe Ave
Vista, CA 92084-1651
Phone
(760) 208-0979
NPI assigned
Feb 19, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 115407 CA Primary

Addresses

Primary practice location

2405 N Santa Fe Ave
Vista, CA 92084-1651

Mailing address

2405 N Santa Fe Ave
Vista, CA 92084-1651

Other practice location 1

138 Civic Center Dr
Vista, CA 92084-6015
Phone (760) 208-0979

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 13, 2024 through Jan 13, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
115407CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1645228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645228800000",
    "number": "1881349652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 N SANTA FE AVE",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920841651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405 N SANTA FE AVE",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920841651",
            "telephone_number": "760-208-0979"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "138 Civic Center Dr",
            "address_purpose": "LOCATION",
            "city": "Vista",
            "state": "CA",
            "postal_code": "920846015",
            "country_code": "US",
            "telephone_number": "760-208-0979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAISEY",
        "first_name": "LINDSAY",
        "middle_name": "NOELLE",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-19",
        "last_updated": "2022-02-19",
        "certification_date": "2022-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "115407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

Verify at the official NPI Registry.