Individual provider Active NPI

Lauren Ashley Ogren, M.A., MFT, LPCCI

  • Marriage & Family Therapist
  • San Rafael, CA
National Provider Identifier
1003246570
Registry record updated Feb 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT83783 Issued in CA
Practice address
710 C St
Suite D
San Rafael, CA 94901-3857
Phone
(415) 488-6650
NPI assigned
Nov 20, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMFT83783 CA Primary
Mental Health Counselor 101YM0800X PCCI241 CA

Addresses

Primary practice location

710 C St
Suite D
San Rafael, CA 94901-3857

Mailing address

710 C St
Suite D
San Rafael, CA 94901-3857
Phone (415) 488-6650

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
PCCI241CAMDMental Health Counselor
LMFT83783CAMDMarriage & Family Therapist
83783CAMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1384905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424649600000",
    "number": "1003246570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 C ST",
            "address_2": "SUITE D",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013857",
            "telephone_number": "415-488-6650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 C ST",
            "address_2": "SUITE D",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013857",
            "telephone_number": "415-488-6650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGREN",
        "first_name": "LAUREN",
        "middle_name": "ASHLEY",
        "credential": "M.A., MFT, LPCCI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-20",
        "last_updated": "2015-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT83783",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "PCCI241",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Rafael, CA

Sources for this page

Verify at the official NPI Registry.