Active NPI
Jon Sarlin, LMFT
- Marriage & Family Therapist
- Kensington, CA
National Provider Identifier
1083172050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 53795
- Practice address
- 87 Ardmore Rd
Kensington, CA 94707-1326 - Phone
- (510) 872-8884
- NPI assigned
- Mar 7, 2019
- Last updated
- Mar 7, 2019
- 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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 53795 | CA | MD | Marriage & 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.