1073912853 NPI number — MRS. ROBIN RACHEL ANDERSEN LMFT

Table of content: MRS. ROBIN RACHEL ANDERSEN LMFT (NPI 1073912853)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1073912853 NPI number — MRS. ROBIN RACHEL ANDERSEN LMFT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ANDERSEN
Provider First Name:
ROBIN
Provider Middle Name:
RACHEL
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
LMFT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
STEIER
Provider Other First Name:
ROBIN
Provider Other Middle Name:
RACHEL
Provider Other Name Prefix Text:
MISS
Provider Other Name Suffix Text:
Provider Other Credential Text:
IMF
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1073912853
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/15/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
500 LA TERRAZA BLVD STE 150
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ESCONDIDO
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92025-3876
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
760-701-1701
Provider Business Mailing Address Fax Number:
760-706-1701

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
500 LA TERRAZA BLVD STE 150
Provider Second Line Business Practice Location Address:
#8179
Provider Business Practice Location Address City Name:
ESCONDIDO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92025-3876
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
760-701-1701
Provider Business Practice Location Address Fax Number:
760-706-1701
Provider Enumeration Date:
08/18/2014

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 106H00000X , with the licence number:  LMFT100070 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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