Individual provider Active NPI

Ciara Forshee

  • Marriage & Family Therapist
  • San Francisco, CA
National Provider Identifier
1235701020
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
AMFT139055 Issued in CA
Practice address
3450 3Rd St Ste 1C
San Francisco, CA 94124-1444
Phone
(415) 437-3990
NPI assigned
Jul 12, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Marriage & Family Therapist 106H00000X AMFT139055 CA Primary

Addresses

Primary practice location

3450 3Rd St Ste 1C
San Francisco, CA 94124-1444

Mailing address

1417 Myrtle St Apt D
Oakland, CA 94607-3270
Phone (858) 210-5409

Other practice location 1

1480 Lincoln Ave
San Rafael, CA 94901-2084
Phone (415) 456-7724

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
AMFT139055CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Homeless Children'S Network PastSince Aug 6, 2023 Accepting new patients
The Child Therapy Institute of Marin PastSince Jul 1, 2021 Accepting new patients

Organizations & group practices 2

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": "1626048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1235701020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 MYRTLE ST APT D",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946073270",
            "telephone_number": "858-210-5409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 3RD ST STE 1C",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941241444",
            "telephone_number": "415-437-3990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1480 Lincoln Ave",
            "address_purpose": "LOCATION",
            "city": "San Rafael",
            "state": "CA",
            "postal_code": "949012084",
            "country_code": "US",
            "telephone_number": "415-456-7724",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORSHEE",
        "first_name": "CIARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-12",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "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": "AMFT139055",
            "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 Jul 31, 2023; 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.