Individual provider Active NPI

David Steven Mars, LMFT

  • Marriage & Family Therapist
  • San Anselmo, CA
National Provider Identifier
1104654458
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
M13412 Issued in CA
Practice address
117 Sequoia Dr
San Anselmo, CA 94960-2333
Phone
(415) 269-6706
NPI assigned
Jul 25, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X M13412 CA
Marriage & Family Therapist 106H00000X M13412 CA Primary

Addresses

Primary practice location

117 Sequoia Dr
San Anselmo, CA 94960-2333

Mailing address

117 Sequoia Dr
San Anselmo, CA 94960-2333
Phone (415) 269-6706

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
M13412CAMDCounseling Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1721865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1104654458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 SEQUOIA DR",
            "city": "SAN ANSELMO",
            "state": "CA",
            "postal_code": "949602333",
            "telephone_number": "415-269-6706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 SEQUOIA DR",
            "city": "SAN ANSELMO",
            "state": "CA",
            "postal_code": "949602333",
            "telephone_number": "415-269-6706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARS",
        "first_name": "DAVID",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-25",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "CA",
            "license": "M13412",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "M13412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Anselmo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.