Active NPI
Lisa Brooks Slede, LMFT
- Marriage & Family Therapist
- San Mateo, CA
National Provider Identifier
1972787125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC41553
- Practice address
- 3080 La Selva St
San Mateo, CA 94403-2109 - Phone
- (650) 573-2990
- Fax
- (650) 349-0476
- NPI assigned
- Dec 24, 2007
- Sex
- Female
- Sole proprietor
- No
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 | MFC41553 | CA | Primary |
Addresses
Primary practice location
3080 La Selva St
San Mateo, CA 94403-2109
Mailing address
3080 La Selva St
San Mateo, CA 94403-2109
Phone (650) 573-2990
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC41553 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central County Mental Health Services | Past | Accepting new patients | |
| County of San Mateo | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Nursing Care Agency
- San Mateo, CA
- NPI 1710165048
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198454400000",
"number": "1972787125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3080 LA SELVA ST",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944032109",
"telephone_number": "650-573-2990",
"fax_number": "650-349-0476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3080 LA SELVA ST",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944032109",
"telephone_number": "650-573-2990",
"fax_number": "650-349-0476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLEDE",
"first_name": "LISA",
"middle_name": "BROOKS",
"name_prefix": "Mrs.",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-24",
"last_updated": "2007-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC41553",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Mateo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.