Individual provider Active NPI

Eric Anthony Lee

  • Marriage & Family Therapist
  • San Francisco, CA
National Provider Identifier
1376979989
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
96389 Issued in CA
Practice address
1625 Carroll Ave
San Francisco, CA 94124-3219
Phone
(415) 468-5100
NPI assigned
Sep 16, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Marriage & Family Therapist 106H00000X 96389 CA Primary

Addresses

Primary practice location

1625 Carroll Ave
San Francisco, CA 94124-3219

Mailing address

1625 Carroll Ave
San Francisco, CA 94124-3219
Phone (408) 621-4809

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241209001277 CA Practitioner - Marriage and Family Therapist 1052847407 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1625 Carroll Ave
San Francisco, CA 94124-3219
Phone (415) 822-8200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bayview Hunters Point Foundation for Community Improvement Inc CurrentSince Nov 25, 2024 Accepting new patients
Bayview Hunters Point Foundation for Community Improvement Inc CurrentSince Jan 1, 2024 Accepting new patients
Hope Services Mental Health PastSince Jan 1, 2008 Accepting new patients
Hope Services PastSince Mar 20, 2022 Accepting new patients

Locations

1625 Carroll Ave
San Francisco, CA 94124
Phone (415) 468-5100

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1379289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1376979989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 CARROLL AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941243219",
            "telephone_number": "408-621-4809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 CARROLL AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941243219",
            "telephone_number": "415-468-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "ERIC",
        "middle_name": "ANTHONY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-16",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "96389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.