Individual provider Active NPI

Rachel Heitler, LMFT

  • Marriage & Family Therapist
  • Berkeley, CA
National Provider Identifier
1326603010
Registry record updated May 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT111303 Issued in CA
Practice address
1760 Solano Ave Ste 301
Berkeley, CA 94707-2218
Phone
(510) 501-4767
NPI assigned
May 8, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2019

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 LMFT111303 CA Primary

Addresses

Primary practice location

1760 Solano Ave Ste 301
Berkeley, CA 94707-2218

Mailing address

1760 Solano Ave Ste 301
Berkeley, CA 94707-2218

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 15, 2024 through Feb 15, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LMFT111303CAMDMarriage & Family Therapist
111303CAMDGeneral Practice Dentistry

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1557273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557273600000",
    "number": "1326603010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 SOLANO AVE STE 301",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947072218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 SOLANO AVE STE 301",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947072218",
            "telephone_number": "510-501-4767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEITLER",
        "first_name": "RACHEL",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-08",
        "last_updated": "2019-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT111303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

Verify at the official NPI Registry.