Individual provider Active NPI

Ilene Schlaeppi Frommer, MFT

  • Marriage & Family Therapist
  • Healdsburg, CA
National Provider Identifier
1376774604
Registry record updated Aug 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFV 16288 Issued in CA
Practice address
280 Almond Way
Healdsburg, CA 95448-4354
Phone
(707) 433-3054
NPI assigned
Aug 4, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2009

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 MFV 16288 CA Primary

Addresses

Primary practice location

280 Almond Way
Healdsburg, CA 95448-4354

Mailing address

280 Almond Way
Healdsburg, CA 95448-4354
Phone (707) 433-3054

Other names 1

  • Ms. Ilene Rae Frommer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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
MFV 16288CAMDMarriage & Family Therapist
16288CAMDPediatric Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1249344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249344000000",
    "number": "1376774604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 ALMOND WAY",
            "city": "HEALDSBURG",
            "state": "CA",
            "postal_code": "954484354",
            "telephone_number": "707-433-3054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 ALMOND WAY",
            "city": "HEALDSBURG",
            "state": "CA",
            "postal_code": "954484354",
            "telephone_number": "707-433-3054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FROMMER",
        "first_name": "ILENE",
        "middle_name": "SCHLAEPPI",
        "name_prefix": "Ms.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-04",
        "last_updated": "2009-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFV 16288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ILENE",
            "last_name": "FROMMER",
            "middle_name": "RAE",
            "prefix": "MS.",
            "credential": "MFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Healdsburg, CA

Sources for this page

Verify at the official NPI Registry.