Active NPI
Daniel Alan Linder, MA, MFT
- Mental Health Counselor
- San Rafael, CA
National Provider Identifier
1003966177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MU17435
- Practice address
- 710 C St
San Rafael, CA 94901-3857 - Phone
- (415) 456-0802
- NPI assigned
- Jan 11, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MU17435 | CA | Primary |
Addresses
Primary practice location
710 C St
San Rafael, CA 94901-3857
Mailing address
189 Canyon Rd
Fairfax, CA 94930-2208
Phone (415) 456-0802
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MU17435 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003966177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "189 CANYON RD",
"city": "FAIRFAX",
"state": "CA",
"postal_code": "949302208",
"telephone_number": "415-456-0802",
"fax_number": "415-472-8185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 C ST",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "949013857",
"telephone_number": "415-456-0802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINDER",
"first_name": "DANIEL",
"middle_name": "ALAN",
"name_prefix": "Mr.",
"credential": "MA, MFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "MU17435",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Rafael, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.