Individual provider Active NPI

Ann Breinholt Le Claire, MFT

  • Marriage & Family Therapist
  • San Ramon, CA
National Provider Identifier
1194862144
Registry record updated Mar 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
40097 Issued in CA
Practice address
2723 Crow Canyon Rd
Ste 214
San Ramon, CA 94583-1583
Phone
(925) 998-5815
NPI assigned
Jan 31, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 40097 CA Primary

Addresses

Primary practice location

2723 Crow Canyon Rd
Ste 214
San Ramon, CA 94583-1583

Mailing address

273 Oakvue Rd
Pleasant Hill, CA 94523-3650
Phone (925) 998-5815

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
40097CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269820800000",
    "number": "1194862144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "273 OAKVUE RD",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945233650",
            "telephone_number": "925-998-5815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2723 CROW CANYON RD",
            "address_2": "STE 214",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831583",
            "telephone_number": "925-998-5815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE CLAIRE",
        "first_name": "ANN",
        "middle_name": "BREINHOLT",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2010-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "40097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Ramon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2010; 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.