Hadi Koesnodihardjo

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC50900 Issued in CA

Practice address

855 Jefferson Ave Unit 70
Redwood City, CA 94064-7200

Phone

(415) 968-9540

Fax

(650) 550-9189

NPI assigned

May 3, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Agility Counseling LLC

  • Marriage & Family Therapist
  • Redwood City, CA
  • NPI 1013733351
  NPD Authorized official

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766275200000",
    "number": "1073735700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940640070",
            "telephone_number": "415-968-9540",
            "fax_number": "650-550-9189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 JEFFERSON AVE UNIT 70",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940647200",
            "telephone_number": "415-968-9540",
            "fax_number": "650-550-9189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOESNODIHARDJO",
        "first_name": "HADI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2025-12-21",
        "certification_date": "2025-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC50900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sung H Knueppel, MD
• Patricia Ko, PHARMD
• Tong S. Kobilka, MD
• Sheila Yumiko Kodani, DDS
• Alyssia Marie Koenig
• Erika Koh, MD
• Susan L Kole, PHD
• Anne Kolker, RD
• Samantha Kollmann
• Malia Litiana Koloamatangi

• Marriage & Family Therapist in Redwood City, CA
• Providers in Redwood City, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.