Theresa Hall, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

35002 Issued in CA

Practice address

5 Bon Air Rd Ste 105
Larkspur, CA 94939-1137

Phone

(415) 461-0440

Fax

(415) 461-3792

NPI assigned

Mar 9, 2021

Last updated

Mar 9, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 28, 2025 through Apr 28, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• University of California San Francisco

  dba UCSF Medical Center Adult Chronic Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • San Francisco, CA
  • NPI 1992818256
  NPD (past)

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

{
    "created_epoch": "1615248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1174108328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 BON AIR RD STE 105",
            "city": "LARKSPUR",
            "state": "CA",
            "postal_code": "949391137",
            "telephone_number": "415-461-0440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 BON AIR RD STE 105",
            "city": "LARKSPUR",
            "state": "CA",
            "postal_code": "949391137",
            "telephone_number": "415-461-0440",
            "fax_number": "415-461-3792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "THERESA",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-09",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "35002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adhira Gupta, MD
• Matthew Samuel Carlton Gutierrez, PHARM.D.
• H.O.P.E. for Healing Institute (a 501C3 Not for Profit) (Hyperbaric Oxygen Therapy of Marin)
• Edward Haack, O.D.
• Frederike Haeusserman, P.T.
• Madeleine Hanks
• Margo Elizabeth Hanlan, PNP
• John Marshall Harvey, MD
• Chelsea A Hastings, D.O.
• Brian Edward Hauswirth, RPT

• Marriage & Family Therapist in Larkspur, CA
• Providers in Larkspur, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.