Active NPI
Charis Khoury, MFT
- Marriage & Family Therapist
- San Francisco, CA
National Provider Identifier
1295108678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 87389
- Practice address
- 3150 18TH St Ste 450 Box 502
San Francisco, CA 94110 - Phone
- (415) 562-5411
- NPI assigned
- Nov 5, 2015
- 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 | 87389 | CA | Primary |
Addresses
Primary practice location
3150 18TH St Ste 450 Box 502
San Francisco, CA 94110
Mailing address
3150 18TH St Ste 450 Box 502
San Francisco, CA 94110
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 |
|---|---|---|---|
| 87389 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446681600000",
"number": "1295108678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3150 18TH ST STE 450 BOX 502",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "94110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3150 18TH ST STE 450 BOX 502",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "94110",
"telephone_number": "415-562-5411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHOURY",
"first_name": "CHARIS",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-11-05",
"last_updated": "2015-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "87389",
"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 Nov 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.