Active NPI
Michelle Angela Leao, LMFT
- Marriage & Family Therapist
- San Francisco, CA
National Provider Identifier
1285905687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 82421
- Practice address
- 3150 18TH St Ste 550
San Francisco, CA 94110-2074 - Phone
- (650) 743-6083
- NPI assigned
- Jan 18, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 82421 | CA | Primary |
Addresses
Primary practice location
3150 18TH St Ste 550
San Francisco, CA 94110-2074
Mailing address
479 Texas St
San Francisco, CA 94107-2932
Phone (650) 743-6083
Other practice location 1
1801 Vicente St
Suite 4900
San Francisco, CA 94116-2923
Phone (415) 681-3211
Other practice location 2
2224 Bush St
San Francisco, CA 94115-3122
Phone (650) 743-6083
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679619910 | Other | CA | MEDI-CAL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 82421 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1285905687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "479 TEXAS ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941072932",
"telephone_number": "650-743-6083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3150 18TH ST STE 550",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941102074",
"telephone_number": "650-743-6083"
}
],
"practiceLocations": [
{
"address_1": "1801 Vicente St",
"address_2": "Suite 4900",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941162923",
"country_code": "US",
"telephone_number": "415-681-3211",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2224 Bush St",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941153122",
"country_code": "US",
"telephone_number": "650-743-6083",
"fax_number": "650-743-6083",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEAO",
"first_name": "MICHELLE",
"middle_name": "ANGELA",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-01-18",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "82421",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL",
"identifier": "1679619910",
"state": "CA"
}
],
"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 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.