MRS. IDA LUCILLE WHITAKER
NPI 1962994038
Marriage & Family Therapist in Escondido, CA

Q: What is Ida Whitaker's NPI number?

The NPI number for Ida Whitaker is 1962994038. It was assigned to this individual provider in the NPPES registry on June 4, 2018.

Q: What is Ida Whitaker's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Ida Whitaker was last updated on June 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 04, 2018PECOS EnrolledAccepts Medicare Assignment

1002 E GRAND AVE, ESCONDIDO, CA 92025(760) 741-2660(760) 741-2647 Get Directions Write a Review

NPPES record last updated: June 4, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mrs. Ida Lucille Whitaker NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. IDA LUCILLE WHITAKER (NPI 1962994038) is an individual marriage & family therapist in Escondido, California, licensed in California (100567) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1962994038

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMRS. IDA LUCILLE WHITAKER

Location Address1002 E GRAND AVEEscondido, CA 92025-4605

Mailing Address615 Allison LnSan Marcos, CA 92069-6516 · (619) 454-0602

Phone(760) 741-2660

Fax(760) 741-2647

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateJune 4, 2018

✔ NPI 1962994038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 100567

Definition

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.

1002 E GRAND AVE, Escondido, CA 92025

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Mountain Health CO-OP.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Ida Lucille Whitaker is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9234671389

PECOS Enrollment IDI20240605000794

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEANETTE BLAND IMF

Marriage & Family Therapist