Active NPI
Lucrecia G Mellegers, MFT-INTERN
- Marriage & Family Therapist
- San Francisco, CA
National Provider Identifier
1285757708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 72235
- Practice address
- 2712 Mission St
San Francisco, CA 94110-3104 - Phone
- (415) 401-2750
- Fax
- (415) 401-2774
- NPI assigned
- Apr 9, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | IMF51486 | CA | |
| Marriage & Family Therapist | 106H00000X | 72235 | CA | Primary |
Addresses
Primary practice location
2712 Mission St
San Francisco, CA 94110-3104
Mailing address
2712 Mission St
San Francisco, CA 94110-3104
Phone (415) 401-2750
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10381 | Other | CBHS INTERNAL USE ONLY-COMMERCIAL NUMBER | |
| 10381 | Other | SFGH INTERNAL USE ONLY |
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
| License | State | Type | Specialty |
|---|---|---|---|
| IMF51486 | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386028800000",
"number": "1285757708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2712 MISSION ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941103104",
"telephone_number": "415-401-2750",
"fax_number": "415-401-2774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2712 MISSION ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941103104",
"telephone_number": "415-401-2750",
"fax_number": "415-401-2774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELLEGERS",
"first_name": "LUCRECIA",
"middle_name": "G",
"credential": "MFT-INTERN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-09",
"last_updated": "2013-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "IMF51486",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "72235",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CBHS INTERNAL USE ONLY-COMMERCIAL NUMBER",
"identifier": "10381",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SFGH INTERNAL USE ONLY",
"identifier": "10381",
"state": null
}
],
"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 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.