Individual provider Active NPI

Elizabeth Ann Deeths, LMFT

  • Marriage & Family Therapist
  • Bakersfield, CA
National Provider Identifier
1972710747
Registry record updated Feb 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 45346 Issued in CA
Practice address
5401 Business Park S
Suite 208
Bakersfield, CA 93309-0721
Phone
(661) 889-4638
Fax
(661) 748-1910
NPI assigned
May 17, 2007
Last updated
Feb 11, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2013

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 MFC 45346 CA Primary

Addresses

Primary practice location

5401 Business Park S
Suite 208
Bakersfield, CA 93309-0721

Mailing address

5401 Business Park S
Suite 208
Bakersfield, CA 93309-0721
Phone (661) 889-4638

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 2, 2024 through Jan 2, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MFC 45346CAMDMarriage & Family Therapist

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360540800000",
    "number": "1972710747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 BUSINESS PARK S",
            "address_2": "SUITE 208",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090721",
            "telephone_number": "661-889-4638",
            "fax_number": "661-748-1910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 BUSINESS PARK S",
            "address_2": "SUITE 208",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090721",
            "telephone_number": "661-889-4638",
            "fax_number": "661-748-1910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEETHS",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2013-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 45346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.