ANIKA DOHERTY (NPI# 1992187645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992187645 |
| Entity Type | Individual |
| Full Name | ANIKA DOHERTY |
| Credential | LMFT |
| Practice Address |
104 Walnut Ave Ste 208 Santa Cruz CA 95060 |
| Mailing Address |
104 Walnut Ave Suite 208 Santa Cruz CA 95060-3900 |
| Practice Telephone | 8314239444 |
| Mailing Telephone | 8314239444 |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2018-09-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | LMFT105540 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2901 Park Ave Ste A3, Soquel, CA 950732831 | 8314239444 | |
| 333 Church St Ste B, Santa Cruz, CA 950603839 | 8315662518 |
| Street Address |
104 WALNUT AVE STE 208 |
| City | SANTA CRUZ |
| State | CA |
| Zip Code | 95060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891893392 | Ann Prindiville | Social Worker | 104 Walnut Ave Ste 208, Santa Cruz, CA 95060-3929 | 2006-09-20 |
| 1891310306 | Amy Kristine Lamb Heckel | Counselor | 104 Walnut Ave Ste 208, Santa Cruz, CA 95060-3929 | 2020-06-10 |
| 1558996835 | Lisa Holden | Counselor | 104 Walnut Ave Ste 208, Santa Cruz, CA 95060-3929 | 2020-03-07 |
| 1750938874 | Dina Irasema Sanchez | Counselor | 104 Walnut Ave Ste 208, Santa Cruz, CA 95060-3929 | 2019-08-22 |
| 1386290286 | Megan Deleon | Counselor | 104 Walnut Ave Ste 208, Santa Cruz, CA 95060-3929 | 2019-08-15 |
| 1972160091 | Jennette Lucille Rice | Counselor | 104 Walnut Ave Ste 208, Santa Cruz, CA 95060-3929 | 2019-05-23 |
| 1518523554 | Darrin Gene Scott | Counselor | 104 Walnut Ave Ste 208, Santa Cruz, CA 95060-3929 | 2019-05-15 |
| 1043791494 | Janet Croteau | Counselor | 104 Walnut Ave Ste 208, Santa Cruz, CA 95060-3929 | 2018-08-23 |
| 1528555919 | Jodie Dianne Ross Mordaunt | Social Worker | 104 Walnut Ave Ste 208, Santa Cruz, CA 95060 | 2018-04-20 |
| 1124524202 | Leslie Woods | Counselor | 104 Walnut Ave Ste 208, Santa Cruz, CA 95060-3929 | 2018-04-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366940215 | Tiphanie Bowens | Counselor | 380 Encinal St., Suite 200, Santa Cruz, CA 95060 | 2018-01-25 |
| 1942714167 | Kyle Hardwick | Chiropractor | 203 River Street, Santa Cruz, CA 95060 | 2017-11-27 |
| 1972015741 | Nina Marie Francesconi | Acupuncturist | 110 Fern St Apt. C, Santa Cruz, CA 95060 | 2017-11-01 |
| 1679091870 | Laura Evelyn Rochelle | Counselor | 380 Encinal St., Suit 200, Santa Cruz, CA 95060 | 2017-09-07 |
| 1649797903 | Jessica Tarnoff | Counselor | 716 Ocean St., Santa Cruz, CA 95060 | 2017-08-28 |
| 1356862064 | Lakia Niema Queen | Counselor | 542 Ocean Street Suite K, Santa Cruz, CA 95060 | 2017-07-03 |
| 1023555992 | Allison Whitehead | Nurse Practitioner | 1080 Emeline Ave., County of Santa Cruz Health Services Agency, Santa Cruz, CA 95060 | 2017-01-30 |
| 1659827293 | Annabelle Drda | Marriage & Family Therapist | 303 Portero St, Santa Cruz, CA 95060 | 2016-09-01 |
| 1376999698 | Erin Liana Johnson | Counselor | 104 Walnut Avenue, Suite 208, Santa Cruz, CA 95060 | 2016-05-05 |
| 1659732097 | Daniel Ezekiel Contreras | Counselor | 1080 Emeline Building D, Santa Cruz, CA 95060 | 2016-03-13 |
| Find all providers in zip 95060 | ||||
| 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 | 95060 |
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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.