Individual provider Active NPI

Elvin Lance Ahl, MS, MDIV

  • Marriage & Family Therapist
  • Carlsbad, CA
National Provider Identifier
1982969085
Registry record updated May 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
86028 Issued in CA
Practice address
2782 Gateway Rd
Carlsbad, CA 92009-1730
Phone
(714) 222-0331
NPI assigned
Jul 5, 2012
Last updated
May 9, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2015

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 86028 CA Primary

Addresses

Primary practice location

2782 Gateway Rd
Carlsbad, CA 92009-1730

Mailing address

1880 Key Largo Rd
Vista, CA 92081-7007
Phone (714) 222-0331

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 Science

State licenses

LicenseStateTypeSpecialty
86028CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Restoration Therapy Center of SD, a MFT Corp Marriage & Family Therapist Current Accepting new patients

Locations

5650 El Camino Real
Ste 130
Carlsbad, CA 92008
Phone (714) 222-0331

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": "1341446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431129600000",
    "number": "1982969085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 KEY LARGO RD",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920817007",
            "telephone_number": "714-222-0331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2782 GATEWAY RD",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920091730",
            "telephone_number": "714-222-0331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHL",
        "first_name": "ELVIN",
        "middle_name": "LANCE",
        "credential": "MS, MDIV",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-05",
        "last_updated": "2015-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "86028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2015; 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.