Active NPI
Mariah Andrea Hart, MS
- Marriage & Family Therapist
- South San Francisco, CA
National Provider Identifier
1184354102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 141923
- Practice address
- 1486 Huntington Ave
South San Francisco, CA 94080-5970 - Phone
- (415) 936-5481
- NPI assigned
- Jun 13, 2022
- Last updated
- Jun 14, 2024
- 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 | |||
| Marriage & Family Therapist | 106H00000X | 141923 | CA | Primary |
| Community Health Worker | 172V00000X |
Addresses
Primary practice location
1486 Huntington Ave
South San Francisco, CA 94080-5970
Mailing address
773 Lisbon St
San Francisco, CA 94112-3523
Phone (415) 535-9113
Other practice location 1
2 Edgewood Ct
Daly City, CA 94014-1841
Phone (650) 994-7110
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 141923 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caminar | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Illness Community Based Residential Treatment Facility
- Daly City, CA
- NPI 1326186420
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718323200000",
"number": "1184354102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "773 LISBON ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941123523",
"telephone_number": "415-535-9113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1486 HUNTINGTON AVE",
"city": "SOUTH SAN FRANCISCO",
"state": "CA",
"postal_code": "940805970",
"telephone_number": "415-936-5481"
}
],
"practiceLocations": [
{
"address_1": "2 Edgewood Ct",
"address_purpose": "LOCATION",
"city": "Daly City",
"state": "CA",
"postal_code": "940141841",
"country_code": "US",
"telephone_number": "650-994-7110",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HART",
"first_name": "MARIAH",
"middle_name": "ANDREA",
"credential": "MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-13",
"last_updated": "2024-06-14",
"certification_date": "2024-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "141923",
"primary": true
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.