Individual provider Active NPI

Mathew Metzgar, LMFT

  • Marriage & Family Therapist
  • Mill Valley, CA
National Provider Identifier
1467990812
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT117100 Issued in CA
Practice address
6 Knoll LN
Mill Valley, CA 94941-2326
Phone
(415) 699-9275
NPI assigned
Feb 6, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 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 LMFT117100 CA Primary

Addresses

Primary practice location

6 Knoll LN
Mill Valley, CA 94941-2326

Mailing address

PO Box 9035
Santa Rosa, CA 95405-1035
Phone (415) 699-9275

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

LicenseStateTypeSpecialty
LMFT117100CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
TLC Child & Family Services PastSince Jul 1, 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1486339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765497600000",
    "number": "1467990812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9035",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954051035",
            "telephone_number": "415-699-9275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 KNOLL LN",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949412326",
            "telephone_number": "415-699-9275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METZGAR",
        "first_name": "MATHEW",
        "name_prefix": "Mr.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-06",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT117100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mill Valley, CA

Sources for this page

Verify at the official NPI Registry.