Organization Active NPI

Ali Vogt Psychotherapy: a Marriage and Family Therapist Corporation

  • Marriage & Family Therapist
  • San Rafael, CA
National Provider Identifier
1164312906
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
ALI VOGT PSYCHOTHERAPY: A MARRIAGE AND FAMILY THERAPIST CORPORATION
Practice address
822 D St Ste 4
San Rafael, CA 94901-2814
Phone
(415) 212-8648
NPI assigned
Jul 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

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

Authorized official

Name
Ali Vogt, LMFT
Title
Owner, Clinical Director
Phone
(510) 527-1918

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

822 D St Ste 4
San Rafael, CA 94901-2814

Mailing address

822 D St Ste 4
San Rafael, CA 94901-2814
Phone (415) 212-8648

Other names 1

  • Big Life Change Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

822 D St
Ste 4
San Rafael, CA 94901
Phone (415) 212-8648

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1751500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751500800000",
    "number": "1164312906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 D ST STE 4",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949012814",
            "telephone_number": "415-212-8648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 D ST STE 4",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949012814",
            "telephone_number": "415-212-8648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALI VOGT PSYCHOTHERAPY: A MARRIAGE AND FAMILY THERAPIST CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-03",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A",
        "authorized_official_last_name": "VOGT",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "OWNER, CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "510-527-1918",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Big Life Change Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Rafael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2025; 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.