Individual provider Active NPI

Erica Denise Lodgen, MA, LMFT

  • Marriage & Family Therapist
  • Camarillo, CA
National Provider Identifier
1912042847
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT33650 Issued in CA
Practice address
3601 Calle Tecate Ste 201
Camarillo, CA 93012-5056
Phone
(805) 748-7653
NPI assigned
Feb 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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 MFT33650 CA Primary

Addresses

Primary practice location

3601 Calle Tecate Ste 201
Camarillo, CA 93012-5056

Mailing address

3601 Calle Tecate Ste 201
Camarillo, CA 93012-5056
Phone (805) 748-7653

Other names 1

  • Erica Denise Lodgen-Rocklin Former name

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MFT33650CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1912042847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 CALLE TECATE STE 201",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930125056",
            "telephone_number": "805-748-7653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 CALLE TECATE STE 201",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930125056",
            "telephone_number": "805-748-7653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LODGEN",
        "first_name": "ERICA",
        "middle_name": "DENISE",
        "credential": "MA, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT33650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERICA",
            "last_name": "LODGEN-ROCKLIN",
            "middle_name": "DENISE",
            "credential": "MA,LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Camarillo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.