Individual provider Active NPI

Andrew Lancaster Byrne, IMFT

  • Marriage & Family Therapist
  • El Cajon, CA
National Provider Identifier
1912213331
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC53477 Issued in CA
Practice address
127 E Lexington Ave
El Cajon, CA 92020
Phone
(619) 573-0682
Fax
(619) 328-6591
NPI assigned
Aug 23, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 63696 CA
Marriage & Family Therapist 106H00000X LMFT53477 CA
Marriage & Family Therapist 106H00000X MFC53477 CA Primary

Addresses

Primary practice location

127 E Lexington Ave
El Cajon, CA 92020

Mailing address

127 E Lexington Ave
El Cajon, CA 92020-4511
Phone (619) 573-0682

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 6, 2026 through Jan 6, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LMFT53477CAMDMarriage & Family Therapist
MFC53477CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Balanced Life Couple Family and Individual Therapy Center Inc. Marriage & Family Therapist Current Accepting new patients

Locations

127 E Lexington Ave
El Cajon, CA 92020
Phone (619) 573-0682

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1282521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1912213331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 E LEXINGTON AVE",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920204511",
            "telephone_number": "619-573-0682",
            "fax_number": "619-328-6591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 E LEXINGTON AVE",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "92020",
            "telephone_number": "619-573-0682",
            "fax_number": "619-328-6591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYRNE",
        "first_name": "ANDREW",
        "middle_name": "LANCASTER",
        "name_prefix": "Mr.",
        "credential": "IMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-23",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "63696",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT53477",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC53477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Cajon, CA

Sources for this page

Verify at the official NPI Registry.