Individual provider Active NPI

Hannah Milan Gottsegen, MA

  • Marriage & Family Therapist
  • San Francisco, CA
National Provider Identifier
1508521717
Registry record updated Nov 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT36781 Issued in CA
Practice address
405 Clement St
San Francisco, CA 94118-2317
Phone
(415) 509-8813
NPI assigned
Nov 2, 2021
Last updated
Nov 15, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2021

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 MFT36781 CA Primary

Addresses

Primary practice location

405 Clement St
San Francisco, CA 94118-2317

Mailing address

90 Crest Rd
Fairfax, CA 94930-1810
Phone (415) 509-8813

Other practice location 1

1346 4th St
San Rafael, CA 94901-2860
Phone (415) 509-8813

Other identifiers 2

IdentifierTypeStateIssuer
MFT36781OtherCABOARD OF BEHAVIORAL SCIENCES
LMFT36781OtherCAPRIVATE PRACTICE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL HannahGottsegen.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective May 15, 2024 through May 15, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MFT36781CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1635811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636934400000",
    "number": "1508521717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 CREST RD",
            "city": "FAIRFAX",
            "state": "CA",
            "postal_code": "949301810",
            "telephone_number": "415-509-8813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 CLEMENT ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941182317",
            "telephone_number": "415-509-8813"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1346 4th St",
            "address_purpose": "LOCATION",
            "city": "San Rafael",
            "state": "CA",
            "postal_code": "949012860",
            "country_code": "US",
            "telephone_number": "415-509-8813",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOTTSEGEN",
        "first_name": "HANNAH",
        "middle_name": "MILAN",
        "name_prefix": "Ms.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-02",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT36781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF BEHAVIORAL SCIENCES",
            "identifier": "MFT36781",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE PRACTICE",
            "identifier": "LMFT36781",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "HannahGottsegen.com",
            "affiliation": "N",
            "address_1": "2859 Sacramento St",
            "city": "San Francisco",
            "state": "CA",
            "country_code": "US",
            "postal_code": "941152114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.