Individual provider Active NPI

Ann Patricia McCarraher-Wetzel, LMFT

  • Marriage & Family Therapist
  • La Canada, CA
National Provider Identifier
1982048930
Registry record updated Apr 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
52119 Issued in CA
Practice address
5290 La Canada Blvd
La Canada, CA 91011-1722
Phone
(818) 952-1328
NPI assigned
Apr 22, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 52119 CA Primary
Occupational Therapist 225X00000X 11961 CA

Addresses

Primary practice location

5290 La Canada Blvd
La Canada, CA 91011-1722

Mailing address

5290 La Canada Blvd
La Canada, CA 91011-1722
Phone (818) 952-1328

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

NPI Registry JSON

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

{
    "created_epoch": "1366588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366588800000",
    "number": "1982048930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5290 LA CANADA BLVD",
            "city": "LA CANADA",
            "state": "CA",
            "postal_code": "910111722",
            "telephone_number": "818-952-1328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5290 LA CANADA BLVD",
            "city": "LA CANADA",
            "state": "CA",
            "postal_code": "910111722",
            "telephone_number": "818-952-1328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARRAHER-WETZEL",
        "first_name": "ANN",
        "middle_name": "PATRICIA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-22",
        "last_updated": "2013-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "52119",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "11961",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Canada, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2013; 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.