Active NPI
Patricia Holden, MFT
- Marriage & Family Therapist
- Mill Valley, CA
National Provider Identifier
1124269972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFT13146
- Practice address
- 10 Willow St
Suite 1
Mill Valley, CA 94941-2845 - Phone
- (415) 435-1838
- Fax
- (415) 435-1809
- NPI assigned
- Mar 7, 2009
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MFT13146 | CA | |
| School Counselor | 101YS0200X | MFT13146 | CA | |
| Marriage & Family Therapist | 106H00000X | MFT13146 | CA | Primary |
Addresses
Primary practice location
10 Willow St
Suite 1
Mill Valley, CA 94941-2845
Mailing address
PO Box 204
Tiburon, CA 94920-0204
Phone (415) 435-1838
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
| License | State | Type | Specialty |
|---|---|---|---|
| MFT13146 | CA | MD | School Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244592000000",
"number": "1124269972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 204",
"city": "TIBURON",
"state": "CA",
"postal_code": "949200204",
"telephone_number": "415-435-1838",
"fax_number": "415-435-1809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 WILLOW ST",
"address_2": "SUITE 1",
"city": "MILL VALLEY",
"state": "CA",
"postal_code": "949412845",
"telephone_number": "415-435-1838",
"fax_number": "415-435-1809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLDEN",
"first_name": "PATRICIA",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-07",
"last_updated": "2009-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "MFT13146",
"primary": false
},
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "CA",
"license": "MFT13146",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFT13146",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mill Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.