Individual provider Active NPI

Erik Paul Anton Deiters, LMFT

  • Marriage & Family Therapist
  • San Francisco, CA
National Provider Identifier
1225419138
Registry record updated Dec 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT123439 Issued in CA
Practice address
2275 Market St
San Francisco, CA 94114-1662
Phone
(415) 508-4037
Fax
(415) 864-1004
NPI assigned
Jun 16, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2020

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X APCC3700 CA
Addiction (Substance Use Disorder) Counselor 101YA0400X
Marriage & Family Therapist 106H00000X IMF98516 CA
Marriage & Family Therapist 106H00000X LMFT123439 CA Primary

Addresses

Primary practice location

2275 Market St
San Francisco, CA 94114-1662

Mailing address

823 Shrader St Apt 6
San Francisco, CA 94117-2745
Phone (415) 933-1901

Other practice location 1

1035 Market St Fl 4
San Francisco, CA 94103-1600
Phone (415) 487-3000

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
APCC3700CAMDProfessional Counselor
IMF98516CAMDMarriage & Family Therapist
LMFT123439CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Thriving Oak Wellness LLC Marriage & Family Therapist Current 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1434412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1225419138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 SHRADER ST APT 6",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941172745",
            "telephone_number": "415-933-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2275 MARKET ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941141662",
            "telephone_number": "415-508-4037",
            "fax_number": "415-864-1004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1035 Market St Fl 4",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941031600",
            "country_code": "US",
            "telephone_number": "415-487-3000",
            "fax_number": "415-558-9657",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEITERS",
        "first_name": "ERIK",
        "middle_name": "PAUL ANTON",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-16",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "APCC3700",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF98516",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT123439",
            "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 Dec 7, 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.