Individual provider Active NPI

Janine Susan Laux-Trautwein, MFT

  • Marriage & Family Therapist
  • Dublin, CA
National Provider Identifier
1104094820
Registry record updated Aug 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT40343 Issued in CA
Practice address
11750 Dublin Blvd
Suite 200
Dublin, CA 94568-2821
Phone
(510) 610-2158
Fax
(925) 456-6009
NPI assigned
Feb 15, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2009

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 MFT40343 CA Primary

Addresses

Primary practice location

11750 Dublin Blvd
Suite 200
Dublin, CA 94568-2821

Mailing address

11750 Dublin Blvd
Suite 200
Dublin, CA 94568-2821
Phone (510) 610-2158

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20241115001464 CA Practitioner - Marriage and Family Therapist 1951835701 Practice locations: Dublin, CA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11740 Dublin Blvd
Suite 206
Dublin, CA 94568-2825
Phone (510) 610-2158

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFT40343CAMDMarriage & Family Therapist
40343CAMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Mind-Body Care, Inc. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250467200000",
    "number": "1104094820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11750 DUBLIN BLVD",
            "address_2": "SUITE 200",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945682821",
            "telephone_number": "510-610-2158",
            "fax_number": "925-456-6009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11750 DUBLIN BLVD",
            "address_2": "SUITE 200",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945682821",
            "telephone_number": "510-610-2158",
            "fax_number": "925-456-6009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUX-TRAUTWEIN",
        "first_name": "JANINE",
        "middle_name": "SUSAN",
        "name_prefix": "Mrs.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-15",
        "last_updated": "2009-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT40343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, CA

Sources for this page

Verify at the official NPI Registry.