Individual provider Active NPI

Gina Engracia, LMFT

  • Marriage & Family Therapist
  • San Francisco, CA
National Provider Identifier
1538352893
Registry record updated Nov 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
53210 Issued in CA
Practice address
582 Market St Ste 2004
San Francisco, CA 94104-5321
Phone
(415) 508-7405
NPI assigned
Aug 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X TPMF500 FL
Marriage & Family Therapist 106H00000X 002165 NY
Marriage & Family Therapist 106H00000X 53210 CA Primary

Addresses

Primary practice location

582 Market St Ste 2004
San Francisco, CA 94104-5321

Mailing address

582 Market St Ste 2004
San Francisco, CA 94104-5321
Phone (415) 508-7405

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
53210CAMDMarriage & Family Therapist
TPMF500FLMDMarriage & Family Therapist
002165NYMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699574400000",
    "number": "1538352893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "582 MARKET ST STE 2004",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941045321",
            "telephone_number": "415-508-7405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "582 MARKET ST STE 2004",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941045321",
            "telephone_number": "415-508-7405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGRACIA",
        "first_name": "GINA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-21",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "TPMF500",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "002165",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "53210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.