Individual provider Active NPI

Angela Maria Arenas, MFT

  • Marriage & Family Therapist
  • San Rafael, CA
National Provider Identifier
1265446900
Registry record updated Mar 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC38718 Issued in CA
Practice address
4 Jeannette Prandi Way
San Rafael, CA 94903-1133
Phone
(415) 507-2665
NPI assigned
Jul 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2011

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 MFC38718 CA Primary

Addresses

Primary practice location

4 Jeannette Prandi Way
San Rafael, CA 94903-1133

Mailing address

4 Jeannette Prandi Way
San Rafael, CA 94903-1133
Phone (415) 507-2665

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
MFC38718CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Marin County Juvenile Probation Past 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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299024000000",
    "number": "1265446900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 JEANNETTE PRANDI WAY",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949031133",
            "telephone_number": "415-507-2665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 JEANNETTE PRANDI WAY",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949031133",
            "telephone_number": "415-507-2665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARENAS",
        "first_name": "ANGELA",
        "middle_name": "MARIA",
        "name_prefix": "Mrs.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2011-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC38718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Rafael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2011; 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.