Individual provider Active NPI

Maria Lentzou

  • Marriage & Family Therapist
  • San Francisco, CA
National Provider Identifier
1487196820
Registry record updated Jun 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
125237 Issued in CA
Practice address
3195 California St Ste D
San Francisco, CA 94115-2412
Phone
(415) 862-1656
NPI assigned
Nov 16, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 125237 CA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

3195 California St Ste D
San Francisco, CA 94115-2412

Mailing address

1160 York St Apt a
San Francisco, CA 94110-3422
Phone (415) 425-7428

Other practice location 1

3720 Sunset Ln
Antioch, CA 94509-6133
Phone (415) 862-1656

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
125237CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Child Therapy Institute 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": "1479254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1487196820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 YORK ST APT A",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941103422",
            "telephone_number": "415-425-7428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3195 CALIFORNIA ST STE D",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941152412",
            "telephone_number": "415-862-1656"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3720 Sunset Ln",
            "address_purpose": "LOCATION",
            "city": "Antioch",
            "state": "CA",
            "postal_code": "945096133",
            "country_code": "US",
            "telephone_number": "415-862-1656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LENTZOU",
        "first_name": "MARIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-16",
        "last_updated": "2021-06-22",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "125237",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; 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.