Healthcare Provider Details

I. General information

NPI: 1487811345
Provider Name (Legal Business Name): MS. ANNIE MARIE MERKEL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANN MERKEL LMFT

II. Dates (important events)

Enumeration Date: 05/19/2008
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 E FELICITA AVE
ESCONDIDO CA
92025-6121
US

IV. Provider business mailing address

111 E FELICITA AVE
ESCONDIDO CA
92025-6121
US

V. Phone/Fax

Practice location:
  • Phone: 760-443-4441
  • Fax:
Mailing address:
  • Phone: 760-443-4441
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number128162
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number128162
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberA010830315
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: