Individual provider Active NPI

Eileen Cohune Brown, LMFT

  • Marriage & Family Therapist
  • Kentfield, CA
National Provider Identifier
1356496525
Registry record updated Mar 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
49457 Issued in CA
Practice address
1030 Sir Francis Drake Blvd
Suite 100, Room 5
Kentfield, CA 94904
Phone
(415) 887-8539
NPI assigned
Jan 25, 2007
Last updated
Mar 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 49457 CA Primary
Marriage & Family Therapist 106H00000X 49901 CA

Addresses

Primary practice location

1030 Sir Francis Drake Blvd
Suite 100, Room 5
Kentfield, CA 94904

Mailing address

1030 Sir Francis Drake Blvd
Suite 100, Room 5
Kentfield, CA 94904
Phone (415) 887-8539

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
49457CAMDMarriage & Family Therapist
49901CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646265600000",
    "number": "1356496525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 SIR FRANCIS DRAKE BLVD",
            "address_2": "SUITE 100, ROOM 5",
            "city": "KENTFIELD",
            "state": "CA",
            "postal_code": "94904",
            "telephone_number": "415-887-8539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 SIR FRANCIS DRAKE BLVD",
            "address_2": "SUITE 100, ROOM 5",
            "city": "KENTFIELD",
            "state": "CA",
            "postal_code": "94904",
            "telephone_number": "415-887-8539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "EILEEN",
        "middle_name": "COHUNE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "49457",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "49901",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kentfield, CA

Sources for this page

Verify at the official NPI Registry.