Individual provider Active NPI

Kasey Lyn Varga, MFT

  • Mental Health Counselor
  • San Francisco, CA
National Provider Identifier
1174157481
Registry record updated Feb 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MFC51150 Issued in CA
Practice address
1197 Valencia St Ste 6
San Francisco, CA 94110-3026
Phone
(415) 203-2793
NPI assigned
Feb 25, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MFC51150 CA Primary

Addresses

Primary practice location

1197 Valencia St Ste 6
San Francisco, CA 94110-3026

Mailing address

1197 Valencia St Ste 6
San Francisco, CA 94110-3026
Phone (415) 203-2793

Other practice location 1

445 Bellevue Ave Ste 304
Oakland, CA 94610-4923
Phone (415) 203-2793

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
MFC51150CAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1582588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582588800000",
    "number": "1174157481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1197 VALENCIA ST STE 6",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941103026",
            "telephone_number": "415-203-2793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1197 VALENCIA ST STE 6",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941103026",
            "telephone_number": "415-203-2793"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "445 Bellevue Ave Ste 304",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946104923",
            "country_code": "US",
            "telephone_number": "415-203-2793",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VARGA",
        "first_name": "KASEY",
        "middle_name": "LYN",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-25",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "MFC51150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; 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.