Active NPI
Min Young Marian Park, LMFT
- Marriage & Family Therapist
- Danville, CA
National Provider Identifier
1366213985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 141285
- Practice address
- 115 Town and Country Dr Ste a
Danville, CA 94526-3960 - Phone
- (925) 837-0505
- NPI assigned
- Jan 11, 2024
- 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 | 141285 | CA | Primary |
Addresses
Primary practice location
115 Town and Country Dr Ste a
Danville, CA 94526-3960
Mailing address
PO Box 2201
San Ramon, CA 94583-7201
Phone (925) 999-0815
Other practice location 1
11740 Dublin Blvd Ste 206
Dublin, CA 94568-2825
Phone (925) 404-7307
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709251200000",
"number": "1366213985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2201",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "945837201",
"telephone_number": "925-999-0815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 TOWN AND COUNTRY DR STE A",
"city": "DANVILLE",
"state": "CA",
"postal_code": "945263960",
"telephone_number": "925-837-0505"
}
],
"practiceLocations": [
{
"address_1": "11740 Dublin Blvd Ste 206",
"address_purpose": "LOCATION",
"city": "Dublin",
"state": "CA",
"postal_code": "945682825",
"country_code": "US",
"telephone_number": "925-404-7307",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PARK",
"first_name": "MIN YOUNG MARIAN",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-01-11",
"last_updated": "2024-03-01",
"certification_date": "2024-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "141285",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Danville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.