Madeleine Lauren Mazzola, LMFT 94033

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

106H00000X Issued in CA

Practice address

1500 Franklin St
San Francisco, CA 94109-4523

Phone

(415) 474-7310

NPI assigned

Dec 13, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Madeleine Lauren Mandich Former name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Felton Institute

  • Community/Behavioral Health Agency
  • Alameda, CA
  • NPI 1144551581
  Medicare reassignment NPD
• Felton Institute

  • Community/Behavioral Health Agency
  • San Mateo, CA
  • NPI 1417222084
  NPD (past)

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

{
    "created_epoch": "1576195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644883200000",
    "number": "1225676828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 FRANKLIN ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941094523",
            "telephone_number": "415-474-7310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 FRANKLIN ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941094523",
            "telephone_number": "415-474-7310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZZOLA",
        "first_name": "MADELEINE",
        "middle_name": "LAUREN",
        "credential": "LMFT 94033",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-13",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "106H00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADELEINE",
            "last_name": "MANDICH",
            "middle_name": "LAUREN",
            "credential": "LMFT 94033",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mazu Medicine
• John E. Mazza, DDS
• Marcus Mazza, LCSW
• Sabrina Kay Mazzei, RN
• Joseph Dante Mazzola, MD
• Gbama Mbayo
• Diane J MC Allister
• Emma Victoria MC Arthur, DACM, LAC
• Paula MC Cabe
• Michael MC Donough

• Marriage & Family Therapist in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.