Active NPI
Wendy Richardson, LMFT
- Marriage & Family Therapist
- Soquel, CA
National Provider Identifier
1891193439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFT021787
- Practice address
- 3121 Park Ave Ste F
Soquel, CA 95073-2956 - Phone
- (831) 479-4742
- Fax
- (831) 464-1019
- NPI assigned
- Dec 14, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFT021787 | CA | Primary |
Addresses
Primary practice location
3121 Park Ave Ste F
Soquel, CA 95073-2956
Mailing address
3121 Park Ave Ste F
Soquel, CA 95073-2956
Phone (831) 479-4742
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
| License | State | Type | Specialty |
|---|---|---|---|
| 21787 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| MFT021787 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418515200000",
"number": "1891193439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3121 PARK AVE STE F",
"city": "SOQUEL",
"state": "CA",
"postal_code": "950732956",
"telephone_number": "831-479-4742",
"fax_number": "831-464-1019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3121 PARK AVE STE F",
"city": "SOQUEL",
"state": "CA",
"postal_code": "950732956",
"telephone_number": "831-479-4742",
"fax_number": "831-464-1019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDSON",
"first_name": "WENDY",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-12-14",
"last_updated": "2014-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFT021787",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Soquel, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.