Active NPI
Louisa Mackintosh
- Mental Health Counselor
- Novato, CA
National Provider Identifier
1396324778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 125265
- Practice address
- 201 Alameda del Prado Ste 201
Novato, CA 94949-6698 - Phone
- (415) 585-5612
- NPI assigned
- Apr 5, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 125265 | CA | Primary |
| Mental Health Counselor | 101YM0800X | CA |
Addresses
Primary practice location
201 Alameda del Prado Ste 201
Novato, CA 94949-6698
Mailing address
6250 Orchard Station Rd
Sebastopol, CA 95472-6226
Phone (510) 866-3001
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
| License | State | Type | Specialty |
|---|---|---|---|
| 125265 | CA | MD | Mental Health Counselor |
| 140769 | CA | MD | Registered Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621555200000",
"number": "1396324778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6250 ORCHARD STATION RD",
"city": "SEBASTOPOL",
"state": "CA",
"postal_code": "954726226",
"telephone_number": "510-866-3001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 ALAMEDA DEL PRADO STE 201",
"city": "NOVATO",
"state": "CA",
"postal_code": "949496698",
"telephone_number": "415-585-5612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACKINTOSH",
"first_name": "LOUISA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-05",
"last_updated": "2021-05-21",
"certification_date": "2021-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "125265",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Novato, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.