Individual provider Active NPI

Jon Sarlin, LMFT

  • Marriage & Family Therapist
  • Kensington, CA
National Provider Identifier
1083172050
Registry record updated Mar 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
53795 Issued in CA
Practice address
87 Ardmore Rd
Kensington, CA 94707-1326
Phone
(510) 872-8884
NPI assigned
Mar 7, 2019
Last updated
Mar 7, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2019

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 53795 CA Primary

Addresses

Primary practice location

87 Ardmore Rd
Kensington, CA 94707-1326

Mailing address

PO Box 7012
Berkeley, CA 94707-0012
Phone (510) 872-8884

Other practice location 1

2799 Middlefield Rd Ste A
Palo Alto, CA 94306-2520
Phone (650) 422-2944

Other practice location 2

23 Altarinda Rd Ste 212
Orinda, CA 94563-2609
Phone (323) 863-3286

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 28, 2025 through Apr 28, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
53795CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1551916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551916800000",
    "number": "1083172050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7012",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947070012",
            "telephone_number": "510-872-8884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 ARDMORE RD",
            "city": "KENSINGTON",
            "state": "CA",
            "postal_code": "947071326",
            "telephone_number": "510-872-8884"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2799 Middlefield Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Palo Alto",
            "state": "CA",
            "postal_code": "943062520",
            "country_code": "US",
            "telephone_number": "650-422-2944",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23 Altarinda Rd Ste 212",
            "address_purpose": "LOCATION",
            "city": "Orinda",
            "state": "CA",
            "postal_code": "945632609",
            "country_code": "US",
            "telephone_number": "323-863-3286",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SARLIN",
        "first_name": "JON",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-07",
        "last_updated": "2019-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "53795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kensington, CA

Sources for this page

Verify at the official NPI Registry.