Anika Doherty, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT105540 Issued in CA

Practice address

15951 Los Gatos Blvd Ste 13
Los Gatos, CA 95032-3488

Phone

(831) 824-7454

NPI assigned

Jun 18, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Family Service Agency of the Central Coast

  • Mental Health Counselor
  • Santa Cruz, CA
  • NPI 1104994136
  NPD (past)

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

{
    "created_epoch": "1434585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654819200000",
    "number": "1992187645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19591 LOS GATOS BLVD.",
            "address_2": "SUITE 13",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "95032",
            "telephone_number": "831-824-8497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15951 LOS GATOS BLVD STE 13",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950323488",
            "telephone_number": "831-824-7454"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 Church St Ste B",
            "address_purpose": "LOCATION",
            "city": "Santa Cruz",
            "state": "CA",
            "postal_code": "950603839",
            "country_code": "US",
            "telephone_number": "831-566-2518",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2901 Park Ave Ste A3",
            "address_purpose": "LOCATION",
            "city": "Soquel",
            "state": "CA",
            "postal_code": "950732831",
            "country_code": "US",
            "telephone_number": "831-423-9444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOHERTY",
        "first_name": "ANIKA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-18",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT105540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diversitus Psychotherapy & Psychoanalysis Inc
• Elizabeth June Dixon, LCSW
• Noah Stephen Djuric, DC
• DO Oriental Medical Group
• Christine M. Doblar, LPT
• Jennifer Marie Doherty, DPT
• Serena Osullivan Dingler Dominguez, LMFT
• Stacey Domnie
• Donald J. Conlon, M.D Professional Corp.
• Joshua M Donaldson, N.D.

• Marriage & Family Therapist in Los Gatos, CA
• Providers in Los Gatos, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.