Nina Elisa Hoffman, M.A., MFTI

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

IMF77079 Issued in CA

Practice address

110 E Mendocino Ave
Willits, CA 95490

Phone

(707) 459-6222

NPI assigned

Aug 29, 2016

Last updated

Aug 15, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Nina Elisa Hoffman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Redwood Community Services, Inc

  • Mental Illness Community Based Residential Treatment Facility
  • Willits, CA
  • NPI 1407351653
  NPD (past)

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

{
    "created_epoch": "1472428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534291200000",
    "number": "1194271205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2077",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954822077",
            "telephone_number": "707-467-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E MENDOCINO AVE",
            "city": "WILLITS",
            "state": "CA",
            "postal_code": "95490",
            "telephone_number": "707-459-6222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFMAN",
        "first_name": "NINA",
        "middle_name": "ELISA",
        "name_prefix": "Mrs.",
        "credential": "M.A., MFTI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-29",
        "last_updated": "2018-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "IMF77079",
            "primary": true
        },
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": "CA",
            "license": "77079",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NINA",
            "last_name": "HOFFMAN",
            "middle_name": "ELISA",
            "prefix": "MS.",
            "credential": "M.A., MFTI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Pendry Haines
• Shawna Stuart Handschug, D.C.
• Miriam Ida Harris, M.D.
• Larann R Henderson
• Amanda Mae Hennes, SLP
• Eric Woodfin Holden
• Charles Macaulay Hott, MD
• Jesse Jacobson
• Paul F Jacobson, LMFT
• Jiho Jang

• Mental Health Counselor in Willits, CA
• Providers in Willits, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2018; 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.