LITSA BRADFORD (NPI# 1093115693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093115693 |
| Entity Type | Individual |
| Full Name | LITSA BRADFORD |
| Credential | LMFT |
| Practice Address |
1740 La Costa Meadows Dr Ste 141 San Marcos CA 92078-5199 |
| Practice Telephone | 7602185905 |
| Practice Fax Number | 7602907208 |
| Mailing Telephone | 7602185905 |
| Mailing Fax Number | 7602907208 |
| Enumeration Date | 2014-09-02 |
| Last Update Date | 2018-09-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 25703 | CA | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | LMFT 25703 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 71777 San Jacinto Dr, Suite 204, Rancho Mirage, CA 922704457 | 7602185905 | 7606998840 |
| Street Address |
1740 LA COSTA MEADOWS DR STE 141 |
| City | SAN MARCOS |
| State | CA |
| Zip Code | 92078-5199 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437623253 | Tania Borja-rodriguez | Nurse Practitioner | 334 Via Vera Cruz #257, San Marcos, CA 92078 | 2019-01-15 |
| 1558846824 | Mckenzie Daile Sorensen | Dentist | 145 S Las Posas Rd Ste 162, San Marcos, CA 92078 | 2018-10-02 |
| 1548750169 | West2north Medical Solutions Inc | Physical Medicine & Rehabilitation | 1595 Grand Ave Ste 100, San Marcos, CA 92078 | 2018-05-18 |
| 1700385747 | Wytoshery Monea Williams | Nurse Practitioner | 1912 Northstar Way, 130, San Marcos, CA 92078 | 2018-02-05 |
| 1457878415 | Smile Community Clinic Inc | Dentist | 670 W. San Marcos Blvd. Ste 103-b, San Marcos, CA 92078 | 2017-08-29 |
| 1740636232 | Ethelaine Centeno | Occupational Therapist | 1615 S. Rancho Santa Fe Road, San Marcos, CA 92078 | 2016-05-13 |
| 1336506203 | Nga Thien Ta | Pharmacist | 671 Rancho Santa Fe, San Marcos, CA 92078 | 2016-01-24 |
| 1689039349 | Kayleigh Ann Desrosiers | Physical Therapist | 137 S Las Posas Rd Ste 254, San Marcos, CA 92078 | 2015-12-23 |
| 1821475930 | Anna Yu | Social Worker | 310 S. Twin Oaks Valley Rd., #107-381, San Marcos, CA 92078 | 2015-04-28 |
| 1831582592 | Bewell Home Physical Therapy P C | Clinic/Center | 1582 W San Marcos Blvd Ste 105b, San Marcos, CA 92078 | 2015-03-05 |
| Find all providers in zip 92078 | ||||
| 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 |
|---|---|---|---|---|
| 1114450640 | Janell Makaipo | Marriage & Family Therapist | 960 W San Marcos Blvd, Suite 200, San Marcos, CA 92078-1100 | 2017-04-11 |
| 1609264761 | Mary L. Hill | Marriage & Family Therapist | 1650 Linda Vista Dr Ste 210, San Marcos, CA 92078-3810 | 2014-12-23 |
| 1467790659 | Jordan Hamilton Robertson | Marriage & Family Therapist | 801 Hazelton St, Apt. B, San Marcos, TX 78666-3189 | 2013-01-22 |
| 1427392182 | Brandi Danae Ducote | Marriage & Family Therapist | 1582 W San Marcos Blvd Ste 301, San Marcos, CA 92078-4081 | 2012-11-19 |
| 1467715052 | Christine Brown | Marriage & Family Therapist | 1913 Dutton Dr Ste 306, San Marcos, TX 78666-5964 | 2012-06-19 |
| 1295038727 | Samuel A. Brumit | Marriage & Family Therapist | 1509 Via Dorado, San Marcos, CA 92069-3259 | 2010-12-05 |
| 1366751869 | Jeffry Alan Kleinberg | Marriage & Family Therapist | 3535 Linda Vista Dr Spc 288, San Marcos, CA 92078-6342 | 2010-09-30 |
| 1558689448 | Jessie Janette Hiatt | Marriage & Family Therapist | 330 Rancheros Dr Ste 218, San Marcos, CA 92069 | 2010-05-17 |
| 1215185392 | Melissa Jaynes Morais Parr | Marriage & Family Therapist | 1043 Via Vera Cruz, San Marcos, CA 92078 | 2008-09-03 |
| 1437328762 | Amy M Price | Marriage & Family Therapist | 1740 La Costa Meadows Dr, Suite 104, San Marcos, CA 92078-5199 | 2008-02-20 |
| Find all providers in SAN MARCOS | ||||
| City | SAN MARCOS |
| Zip Code | 92078 |
Please comment or provide details below to improve the information on LITSA BRADFORD.
| 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.