Individual provider Active NPI

Catharina Elisabet Severson, M.S., MFT

  • Marriage & Family Therapist
  • Napa, CA
National Provider Identifier
1407102783
Registry record updated Apr 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
53054 Issued in CA
Practice address
68 Coombs St Ste a-1
Napa, CA 94559-3956
Phone
(415) 787-3414
NPI assigned
Jul 24, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2022

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 53054 CA Primary

Addresses

Primary practice location

68 Coombs St Ste a-1
Napa, CA 94559-3956

Mailing address

68 Coombs St Ste a-1
Napa, CA 94559-3956
Phone (415) 787-3414

Other practice location 1

1477 Lincoln Ave
San Rafael, CA 94901-2028
Phone (415) 459-2395

Other names 1

  • Catharina Forsythe 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 Feb 1, 2024 through Feb 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
53054CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Center Point, Inc Past Accepting new patients

Organizations & group practices 1

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": "1343088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1407102783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 COOMBS ST STE A-1",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945593956",
            "telephone_number": "415-787-3414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 COOMBS ST STE A-1",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945593956",
            "telephone_number": "415-787-3414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1477 Lincoln Ave",
            "address_purpose": "LOCATION",
            "city": "San Rafael",
            "state": "CA",
            "postal_code": "949012028",
            "country_code": "US",
            "telephone_number": "415-459-2395",
            "fax_number": "415-459-1292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEVERSON",
        "first_name": "CATHARINA",
        "middle_name": "ELISABET",
        "name_prefix": "Miss",
        "credential": "M.S., MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-24",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "53054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATHARINA",
            "last_name": "FORSYTHE",
            "credential": "LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Napa, CA

Sources for this page

Verify at the official NPI Registry.