Individual provider Active NPI

Russell Eric Hendlin, MA, LMFT

  • Marriage & Family Therapist
  • San Anselmo, CA
National Provider Identifier
1386843688
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 25562 Issued in CA
Practice address
412 Red Hill Ave Ste 17
San Anselmo, CA 94960-2443
Phone
(415) 233-0788
NPI assigned
Jul 16, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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 MFC 25562 CA Primary

Addresses

Primary practice location

412 Red Hill Ave Ste 17
San Anselmo, CA 94960-2443

Mailing address

PO Box 189
San Geronimo, CA 94963-0189
Phone (415) 233-0788

Other practice location 1

201 Oak Springs Dr
San Anselmo, CA 94960-1326
Phone (415) 233-0788

Other practice location 2

PO Box 189
San Geronimo, CA 94963-0189
Phone (415) 233-0788

Other identifiers 1

IdentifierTypeStateIssuer
01CROtherCAMEDICAL

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MFC 25562CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1386843688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 189",
            "city": "SAN GERONIMO",
            "state": "CA",
            "postal_code": "949630189",
            "telephone_number": "415-233-0788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 RED HILL AVE STE 17",
            "city": "SAN ANSELMO",
            "state": "CA",
            "postal_code": "949602443",
            "telephone_number": "415-233-0788"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Oak Springs Dr",
            "address_purpose": "LOCATION",
            "city": "San Anselmo",
            "state": "CA",
            "postal_code": "949601326",
            "country_code": "US",
            "telephone_number": "415-233-0788",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "PO Box 189",
            "address_purpose": "LOCATION",
            "city": "San Geronimo",
            "state": "CA",
            "postal_code": "949630189",
            "country_code": "US",
            "telephone_number": "415-233-0788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDLIN",
        "first_name": "RUSSELL",
        "middle_name": "ERIC",
        "name_prefix": "Mr.",
        "credential": "MA, LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-16",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 25562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "01CR",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Anselmo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.