Individual provider Active NPI

Suzanne Gauthier-Pin, LMFT

  • Marriage & Family Therapist
  • Rolling Hills Estates, CA
National Provider Identifier
1447650908
Registry record updated Dec 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT122628 Issued in CA
Practice address
655 Deep Valley Dr Ste 220
Rolling Hills Estates, CA 90274-3661
Phone
(310) 936-1324
NPI assigned
Sep 2, 2014
Last updated
Dec 22, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2020

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 LMFT122628 CA Primary

Addresses

Primary practice location

655 Deep Valley Dr Ste 220
Rolling Hills Estates, CA 90274-3661

Mailing address

655 Deep Valley Dr Ste 220
Rolling Hills Estates, CA 90274-3661
Phone (310) 936-1324

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

LicenseStateTypeSpecialty
LMFT122628CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Peninsula Center for Children and Families PastSince Dec 27, 2020 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1409616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1447650908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 DEEP VALLEY DR STE 220",
            "city": "ROLLING HILLS ESTATES",
            "state": "CA",
            "postal_code": "902743661",
            "telephone_number": "310-936-1324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 DEEP VALLEY DR STE 220",
            "city": "ROLLING HILLS ESTATES",
            "state": "CA",
            "postal_code": "902743661",
            "telephone_number": "310-936-1324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUTHIER-PIN",
        "first_name": "SUZANNE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-02",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT122628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rolling Hills Estates, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; 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.