JUDITH MARIE LARSON (NPI# 1265628382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265628382 |
| Entity Type | Individual |
| Full Name | JUDITH MARIE LARSON |
| Credential | MFT |
| Practice Address |
5905 Soquel Dr Ste 500 Soquel CA 95073-2850 |
| Practice Telephone | 8314763936 |
| Practice Fax Number | 8316620415 |
| Mailing Telephone | 8314763936 |
| Mailing Fax Number | 8316620415 |
| Enumeration Date | 2007-09-21 |
| Last Update Date | 2007-09-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | MFT25003 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164648143 | Judith M Larson | Psychologist | 3391 Middlefield Rd, Palo Alto, CA 94306-3049 | 2007-04-18 |
| 1043251267 | Judith A Larson | Physical Therapist | 1970 Navajo St, Rhinelander, WI 54501-8890 | 2006-06-09 |
| 1265538987 | Judith S Larson | Occupational Therapist | 5200 Copper Ave Ne, Albuquerque, NM 87108-1473 | 2006-09-16 |
| Street Address |
5905 SOQUEL DR STE 500 |
| City | SOQUEL |
| State | CA |
| Zip Code | 95073-2850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740405000 | Sara L Weir | Marriage & Family Therapist | 5905 Soquel Dr Ste 500, Soquel, CA 95073-2850 | 2007-04-13 |
| 1861680282 | Susan Matsui | Social Worker | 5905 Soquel Dr Ste 500, Soquel, CA 95073-2850 | 2007-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083963938 | Camille Ditter | Social Worker | 281 Paradise Lane, Soquel, CA 95073 | 2012-09-06 |
| 1811212640 | Rebecca C Hughes | Registered Nurse | 3622 Pringle Lane, Soquel, CA 95073 | 2010-04-05 |
| 1144450966 | Victoria Eagle | Counselor | 2425 Porter Street, #7, Soquel, CA 95073 | 2009-07-15 |
| 1184879405 | Mark Kevin Kalemos | Social Worker | 5905 Soquel Dr #300, Soquel, CA 95073 | 2008-12-01 |
| 1710144845 | Pauline Irene Fillion | Marriage & Family Therapist | 5905 Soquel Dr., Ste 200, Soquel, CA 95073 | 2008-05-16 |
| 1750508362 | Vickie Assunto | Marriage & Family Therapist | 2805 Porter St., Soquel, CA 95073 | 2007-04-18 |
| 1245356286 | Judy Gonzalez | Counselor | 2715 Porter Street, Soquel, CA 95073 | 2007-03-21 |
| 1942330550 | Jasmine Debra Berke | Acupuncturist | 2425 Porter Street, Soquel, CA 95073 | 2007-03-06 |
| 1275690802 | Andrea Beth Wachter | Marriage & Family Therapist | 5905 Soquel Dr 650, Soquel, CA 95073 | 2007-01-02 |
| 1194886606 | Shirley Laden Marcus | Marriage & Family Therapist | 5905 Soquel Drive, Suite 250, Soquel, CA 95073 | 2006-12-12 |
| Find all providers in zip 95073 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588209753 | Brian Woods | Marriage & Family Therapist | 2567b S Main St, Soquel, CA 95073-2407 | 2019-11-12 |
| 1811540214 | Michelle Katsky Caron | Marriage & Family Therapist | 5905 Soquel Dr Ste 100, Soquel, CA 95073-2856 | 2019-07-24 |
| 1891284147 | Richard Myles Litvak | Marriage & Family Therapist | 3121 Park Ave Ste I, Soquel, CA 95073-2956 | 2018-05-02 |
| 1811434582 | Dana Elaine Schlick | Marriage & Family Therapist | 5905 Soquel Dr Ste 200, Soquel, CA 95073-2857 | 2017-01-19 |
| 1134578156 | Lusijah Sutherland Darrow | Marriage & Family Therapist | 2715 Porter St Ste 204, Soquel, CA 95073-2437 | 2016-06-09 |
| 1649643818 | Amy Erin Mcnish | Marriage & Family Therapist | 651 Sunset Ln, Soquel, CA 95073-9722 | 2015-11-09 |
| 1851763460 | Antonia Sterbenz | Marriage & Family Therapist | 2805 Porter St, Soquel, CA 95073-2422 | 2015-10-22 |
| 1891193439 | Wendy Richardson | Marriage & Family Therapist | 3121 Park Ave Ste F, Soquel, CA 95073-2956 | 2014-12-14 |
| 1619221785 | Rama K Khalsa | Marriage & Family Therapist | 4904 Bellevue St, Soquel, CA 95073-2667 | 2012-10-29 |
| 1316235492 | David Ruso | Marriage & Family Therapist | 3121 Park Ave Ste K, Soquel, CA 95073-2956 | 2011-07-11 |
| Find all providers in SOQUEL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.