Active NPI
Natasha Edelhaus, LMFT
- Marriage & Family Therapist
- San Ramon, CA
National Provider Identifier
1104959469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT40591
- Practice address
- 9935 Alcosta Blvd
San Ramon, CA 94583-3057 - Phone
- (781) 864-0539
- Fax
- (925) 999-9627
- NPI assigned
- Mar 14, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 059909 | MA | |
| Marriage & Family Therapist | 106H00000X | LMFT40591 | CA | Primary |
Addresses
Primary practice location
9935 Alcosta Blvd
San Ramon, CA 94583-3057
Mailing address
756 Washington St Ste B
Stoughton, MA 02072-2976
Phone (781) 708-4504
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104959469 | Other | LYRA HEALTH | |
| 1104959469 | Other | CIGNA | |
| 1104959469 | Other | BLUE CROSS BLUE SHIELD OF CA | |
| 1104959469 | Other | MAGELLAN | |
| 1104959469 | Other | AETNA HEALTH | |
| 1104959469 | Other | UNITED HEALTHCARE | |
| 1104959469 | Other | UMR |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260504005280 | CA | Practitioner - Marriage and Family Therapist | 8123596624 | Practice locations: San Ramon, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
9935 Alcosta Blvd
San Ramon, CA 94583-3057
Phone (781) 864-0539
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT40591 | CA | MD | Marriage & Family Therapist |
| 059909 | MA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Natasha Edelhaus Enterprises Inc | Marriage & Family Therapist | 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.
-
- Marriage & Family Therapist
- Stoughton, MA
- NPI 1770871501
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594944000000",
"number": "1104959469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "756 WASHINGTON ST STE B",
"city": "STOUGHTON",
"state": "MA",
"postal_code": "020722976",
"telephone_number": "781-708-4504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9935 ALCOSTA BLVD",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "945833057",
"telephone_number": "781-864-0539",
"fax_number": "925-999-9627"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDELHAUS",
"first_name": "NATASHA",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-14",
"last_updated": "2020-07-17",
"certification_date": "2020-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MA",
"license": "059909",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT40591",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LYRA HEALTH",
"identifier": "1104959469",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1104959469",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF CA",
"identifier": "1104959469",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "1104959469",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HEALTH",
"identifier": "1104959469",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1104959469",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UMR",
"identifier": "1104959469",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Ramon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2020; 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.