MS. ELISA PEDERSON STOURAS (NPI# 1487867289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487867289 |
| Entity Type | Individual |
| Full Name | MS. ELISA PEDERSON STOURAS |
| Other Name | MS. ELISA RUTH PEDERSON |
| Credential | MFT |
| Practice Address |
555 Soquel Avenue Suite 260 Santa Cruz CA 95062 |
| Practice Telephone | 8314260111 |
| Mailing Telephone | 8314260111 |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | MFC37166 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CA DRIVER'S LICENSE | CA N5003586 | 01 |
| CA | MARRIAGE & FAMILY THERAPI | MFC37166 | 01 |
| Street Address |
555 SOQUEL AVENUE SUITE 260 |
| City | SANTA CRUZ |
| State | CA |
| Zip Code | 95062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659527968 | Robin K Roberts | Marriage & Family Therapist | 555 Soquel Avenue, Suite 280, Santa Cruz, CA 95062 | 2008-08-18 |
| 1548459480 | Nancy S. Thorner, Md, Inc | Obstetrics & Gynecology | 555 Soquel Avenue, Suite 360, Santa Cruz, CA 95062 | 2007-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730706698 | Laura Lynn Rabb-jancola | Home Health | 275 Lake Ave #8, Santa Cruz, CA 95062 | 2020-06-26 |
| 1043792740 | New Life Community Services, Inc | Substance Abuse Rehabilitation Facility | 521 Capitola Rd Ext, Santa Cruz, CA 95062 | 2018-08-30 |
| 1780180380 | Philips Patton | Acupuncturist | 129 Dake Ave, Santa Cruz, CA 95062 | 2018-04-03 |
| 1477069896 | Wei Jiang | Acupuncturist | 1099 38th Ave #46, Santa Cruz, CA 95062 | 2017-12-21 |
| 1336679885 | Camm Nelsen | Counselor | 200 7th Avenue. Suite 150, Santa Cruz, CA 95062 | 2017-06-18 |
| 1639601784 | Catharine Lee Sheets | Registered Nurse | 21507 East Cliff Drive, Santa Cruz, CA 95062 | 2017-03-29 |
| 1972968857 | Brenda M. Williams | Counselor | 941 Eldorado Ave, Santa Cruz, CA 95062 | 2015-12-21 |
| 1124490347 | Emily Fittante | Social Worker | 343 Soquel Ave #195, Santa Cruz, CA 95062 | 2015-10-27 |
| 1578935839 | Jennifer Langon, Lmft | Community/Behavioral Health | 5905 Soquel Ave Suite 400, Aptos, CA 95062 | 2015-10-27 |
| 1255718581 | Joanne Gramo | Acupuncturist | 316a Oceanview Ave., Santa Cruz, CA 95062 | 2015-05-06 |
| Find all providers in zip 95062 | ||||
| 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 |
|---|---|---|---|---|
| 1013521525 | Kim Ives Hicks | Marriage & Family Therapist | 4550 Arana Creek Way, Santa Cruz, CA 95065-1014 | 2020-09-02 |
| 1902435472 | Bruce Lambert Ross | Marriage & Family Therapist | 501 Mission St Ste 103, Santa Cruz, CA 95060-3687 | 2020-04-06 |
| 1336619808 | Teri Lynn Virostko | Marriage & Family Therapist | 340 Soquel Ave Ste 104, Santa Cruz, CA 95062-2328 | 2018-11-27 |
| 1700355062 | Meredith Berger | Marriage & Family Therapist | 735 Chestnut St Ste 3, Santa Cruz, CA 95060-3759 | 2018-11-15 |
| 1073091674 | Amy Mandell | Marriage & Family Therapist | 1156 High St, Counseling and Psychological Services, Student Health Center, East Wing, 2nd Floor, Santa Cruz, CA 95064 | 2018-08-06 |
| 1437676624 | John Mizelle | Marriage & Family Therapist | 573 Soquel Ave, Santa Cruz, CA 95062-2309 | 2017-08-28 |
| 1275071458 | David Powers | Marriage & Family Therapist | 127 Jewell St, Santa Cruz, CA 95060-1717 | 2017-02-07 |
| 1356893135 | Jessica Lillian Zovar | Marriage & Family Therapist | 711 41st Ave, Santa Cruz, CA 95062-5208 | 2016-10-27 |
| 1689124968 | Thomas Cody Swift | Marriage & Family Therapist | 550 Water St Ste 3, Santa Cruz, CA 95060-4124 | 2016-10-11 |
| 1659827293 | Annabelle Drda | Marriage & Family Therapist | 303 Portero St, Santa Cruz, CA 95060 | 2016-09-01 |
| Find all providers in SANTA CRUZ | ||||
| City | SANTA CRUZ |
| Zip Code | 95062 |
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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.