Active NPI
Bonnie Louise Hoag, M.F.T.
- Marriage & Family Therapist
- Kentfield, CA
National Provider Identifier
1396073185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- ME15908
- Practice address
- 905 Sir Francis Drake Blvd.
Ste. F.
Kentfield, CA 94904 - Phone
- (415) 485-1177
- Fax
- (415) 459-7420
- NPI assigned
- Dec 7, 2009
- 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 | ME15908 | CA | Primary |
Addresses
Primary practice location
905 Sir Francis Drake Blvd.
Ste. F.
Kentfield, CA 94904
Mailing address
905 Sir Francis Drake Blvd.
Ste. F.
Kentfield, CA 94904
Phone (415) 485-1177
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ME15908 | Other | CA | MFT LICENSE BOARD OF BEHAVIORAL SCIENCE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME15908 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260316800000",
"number": "1396073185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "905 SIR FRANCIS DRAKE BLVD.",
"address_2": "STE. F.",
"city": "KENTFIELD",
"state": "CA",
"postal_code": "94904",
"telephone_number": "415-485-1177",
"fax_number": "415-459-7420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "905 SIR FRANCIS DRAKE BLVD.",
"address_2": "STE. F.",
"city": "KENTFIELD",
"state": "CA",
"postal_code": "94904",
"telephone_number": "415-485-1177",
"fax_number": "415-459-7420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOAG",
"first_name": "BONNIE",
"middle_name": "LOUISE",
"name_prefix": "Mrs.",
"credential": "M.F.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-12-07",
"last_updated": "2009-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "ME15908",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MFT LICENSE BOARD OF BEHAVIORAL SCIENCE",
"identifier": "ME15908",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kentfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.