Amy Cosby-Frost, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC42309 Issued in CA

Practice address

1703 5TH Ave
Ste. 303
San Rafael, CA 94901-1826

Phone

(415) 713-6453

NPI assigned

Mar 20, 2012

Last updated

Mar 20, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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 19, 2024 through Jan 19, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1332201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332201600000",
    "number": "1356616684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 NORTHVIEW CT",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949032800",
            "telephone_number": "415-713-6453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 5TH AVE",
            "address_2": "STE. 303",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949011826",
            "telephone_number": "415-713-6453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSBY-FROST",
        "first_name": "AMY",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-20",
        "last_updated": "2012-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC42309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rena Whitney Corban
• Timothy Michael Cordell
• Nancy Cordova, M.S. C.C.C.SLP
• James Corniea, PTA
• Manuel Alejandro Correa, AMFT
• Elizabeth Cosentino
• Costa Forward Enterprise Incorporated
• Alison B. Costa, LMFT
• Aloizio Veronico Costa
• Benjamin Pierce Costa, PT

• Marriage & Family Therapist in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.