Individual provider Active NPI

Nicole Ann Livingston, MFT

  • Marriage & Family Therapist
  • San Francisco, CA
National Provider Identifier
1063430452
Registry record updated May 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC39411 Issued in CA
Practice address
582 Market St
Suite 716
San Francisco, CA 94104-5301
Phone
(415) 272-7795
Fax
(415) 820-1604
NPI assigned
Jul 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC39411 CA Primary

Addresses

Primary practice location

582 Market St
Suite 716
San Francisco, CA 94104-5301

Mailing address

465 California St
Suite 660
San Francisco, CA 94104-1804
Phone (415) 272-7795

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MFC39411CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304467200000",
    "number": "1063430452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 CALIFORNIA ST",
            "address_2": "SUITE 660",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941041804",
            "telephone_number": "415-272-7795",
            "fax_number": "415-820-1604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "582 MARKET ST",
            "address_2": "SUITE 716",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941045301",
            "telephone_number": "415-272-7795",
            "fax_number": "415-820-1604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVINGSTON",
        "first_name": "NICOLE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2011-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC39411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.