Active NPI
Martha Wolfe, MARRIAGE & FAMILY TH
- Marriage & Family Therapist
- Oakland, CA
National Provider Identifier
1306044615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC40129
- Practice address
- 3911 Harrison Street
Oakland, CA 94611 - Phone
- (510) 601-1984
- Fax
- (510) 763-3277
- NPI assigned
- Jul 7, 2007
- 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 | MFC40129 | CA | Primary |
Addresses
Primary practice location
3911 Harrison Street
Oakland, CA 94611
Mailing address
3911 Harrison Street
Oakland, CA 94611
Phone (510) 601-1984
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01674804 | Medicaid | CA |
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 |
|---|---|---|---|
| MFC40129 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527033600000",
"number": "1306044615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3911 HARRISON STREET",
"city": "OAKLAND",
"state": "CA",
"postal_code": "94611",
"telephone_number": "510-601-1984",
"fax_number": "510-763-3277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3911 HARRISON STREET",
"city": "OAKLAND",
"state": "CA",
"postal_code": "94611",
"telephone_number": "510-601-1984",
"fax_number": "510-763-3277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLFE",
"first_name": "MARTHA",
"name_prefix": "Ms.",
"credential": "MARRIAGE & FAMILY TH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-07",
"last_updated": "2018-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC40129",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01674804",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.